Orbital Cellulitis

Important: Therapy

• Serious emergency – infection of soft tissue behind orbital septum.
• Contact specialist for advice if there is evidence of intracranial extension or if the patient has had surgery.

Notes:

Important: Therapy

IV Ceftriaxone 2g 12 hourly

+ Oral Metronidazole 400mg 8 hourly (or IV 500mg 8 hourly if oral route not available)

For 10 days total treatment – if intracranial pathology excluded and patient responds well to IV, then switch after 3-5 days to

Oral Co-amoxiclav 625mg 8 hourly

Notes:

Important: Therapy

 IV Co-trimoxazole* 960mg 12 hourly

+ IV Clindamycin 300mg 6 hourly

For 10 days total treatment - If intracranial pathology excluded and patient responds well to IV, then switch after 3-5 days to

Oral Co-trimoxazole 960mg 12 hourly

+ Oral Clindamycin 300mg 6 hourly

Notes:

*If IV Co-trimoxazole not available use IV Ciprofloxacin 400mg twice daily