Cellulitis Flashcards
1
Q
What is Cellulitis?
A
- Cellulitis is a bacterial infection that affects the dermis and deeper subcutaneous tissues
2
Q
What are the organisms which cause Cellulitis?
A
- Streptococcus Pyogenes
- Staphylococcus Aureus
3
Q
What are the clinical features of Cellulitis?
A
- Commonly occur on the shins
- Usually unilateral
- Erythema - well-defined margins, blister and bullae (indicate more severe disease)
- Swelling
- Systemic Upset (Fever, Malaise, Nausea)
4
Q
How do you make a diagnosis of Cellulitis?
A
- A diagnosis of Cellulitis is Clinical
- Blood and Blood Cultures - if sepsis suspected
5
Q
What is the Classification for Cellulitis ?
A
- Eron Classification
6
Q
What is stage 1 of Eron Classification?
A
- There are no signs of systemic toxicity and the person has no uncontrolled co-morbidities
7
Q
What is stage 2 of Eron Classification?
A
- The person is either systemically unwell
OR - Systemically well with a co-morbidity (PAD, CVI, Morbid Obesity)
8
Q
What is stage 3 of Eron Classification?
A
- The person has signifiant systemic upset (acute confusion, tachycardia, tachypnoea, hypotension or unstable co-morbidities that interfere with a response to treatment)
9
Q
What is Stage 4 of Eron Classification?
A
- The person has sepsis syndrome
OR - A severe life-threatening infection such as NEC fasciitis
10
Q
When do you recommend admitting the patient for IV Abx?
A
- Eron Class 3 or 4 cellulitis
- Has severe or rapidly deteriorating cellulitis
- Is very young or frail
- Is immunocompromised
- Significant lymphoedema
- Has facial cellulitis or periorbital cellulitis
11
Q
What is the Managment for Eron Class 1 and 2?
A
- oral antibiotics
- oral Flucloxacillin, for first line treatment
- Oral Clarithromycin (for penicillin allergy)
- Oral Erythromycin ( in pregnancy)
12
Q
What is the managment for Eron Class 2?
A
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