Preseptal Orbital Cellulitis

Micro-organism

Staph.aureus, Strep.pyogenes, Strep.pneumonia, Haemophilus spp.

First Line

Co-amoxiclav PO (AND Vancomycin IV if MRSA positive) for 5-7 days

If otherwise well - oral route is appropriate. If unwell, then use IV

 

Notes

Contact ENT + Ophthalmology team as soon as child is admitted

Consider adding Metrondiazole if no improvement within 24-48 hours