Periorbital or Preseptal Cellulitis
Antimicrobial prescribing: NHS Fife
Clinical features
- Cellulitis involving the orbit
- Swelling around the eye
- Impaired eye opening, eye movement or visual acuity
Investigations
- Blood culture
- Swab of discharge from superficial lesions for culture
Infection Control
Basic universal precautions
Treatment
Discuss patient with Ophthalmology
The first dose of CEFTRIAXONE is unrestricted for this indication. To continue therapy beyond 24 hours you will need an authorisation code
CEFTRIAXONE IV 2g 24 hourly
Plus
METRONIDAZOLE PO 400mg 8 hourly
For true penicillin allergy:
Discuss with Microbiology