Important: Therapy
Co-amoxiclav PO dosed as per BNF for children
7 Days
Co-amoxiclav PO dosed as per BNF for children
Clindamycin PO dosed as per BNF for children
Clindamycin liquid is unlicensed – consultant use only.
Suspect orbital cellulitis if there is evidence of skin and soft tissue infection in the eye area with peri-orbital oedema, a displaced globe, double vision, ophthalmoplegia, or reduced visual acuity.
Primary care: This is an emergency, as it is potentially sight-threatening, and any suspected case should be referred to secondary care for assessment and treatment.
In the ED: all cases of facial/peri-orbital cellulitis should be discussed with a senior member of ED medical staff and a maxillo-facial surgeon or opthalmologist.