GuidelinesOther guideline
Periorbital Cellulitis
Infection Periorbital cellulitis Brief outline/clinical setting Approximately 3% of sinusitis cases will progress to orbital cellulitis, with 60–85% of orbital cellulitis cases being secondary to sinusitis. In the absence of abscess formation or reduction in visual signs medical management should initially be imple- mented for the first 24 hours, with frequent monitoring. If no significant clinic
| Infection | Periorbital cellulitis |
| Brief outline/clinical setting | Approximately 3% of sinusitis cases will progress to orbital cellulitis, with 60–85% of orbital cellulitis cases being secondary to sinusitis. In the absence of abscess formation or reduction in visual signs medical management should initially be imple- mented for the first 24 hours, with frequent monitoring. If no significant clinical improvement in the first 24 hours of medical treatment , surgical intervention should be considered. If at any point there is any clinical deterioration, urgent repeat imaging with a view to emergency surgical intervention is required |
| Aetiologies/organisms | S. pneumonia S. anginosus and other Streptococcus species H. influenzae S. aureus Moraxella catarrhalis anaerobic bacteria (Prevotella, Porphyromonas, Fusobacterium and Peptostreptococcus species) |
| Optimal antimicrobial selection | Ceftriaxone 1-2g IV BD plus Metronidazole 500mg IVI TDS |
| Duration | 14 days |
| Alternative if allergic/not available | |
| Rationale | Sandwell and West Birmingham Hospitals NHS Trust |
| Level of evidence | |
| Link to Guideline | Click here |