Facial or Peri-Orbital Cellulitis - Outpatient Treatment

Duration

7 Days

First Line

Important: Therapy

Co-amoxiclav PO dosed as per BNF for children


 

Penicillin allergy

Important: Therapy

Clindamycin PO dosed as per BNF for children

Notes:

Clindamycin liquid is unlicensed – consultant use only.

Important: Notes

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.