Journal of Emergency Practice and Trauma

Cellulitis: when to say its treatment failure

Document Type : Letter to Editor

Author

Sadaf Sheikh

Emergency Medicine Department, Fujairah Hospital, Fujairah, United Arab Emirates

https://doi.org/10.34172/jept.2022.06
Abstract
Cellulitis is treated with antibiotics as routine management and based on the literature the cellulitis hospitalization can be avoided by 11% if appropriate antibiotics are used.1 Randomized clinical trials and Cochrane reviews have suggested that oral antibiotics are non-inferior to intravenous administration (1). We would like to highlight here the unrequired use of intravenous antibiotics in cellulitis. Intravenous antibiotics are recommended in patients with sepsis. This is supported by a study done on 1800 patients with cellulitis diagnosis, where one third of patients were hospitalized

Keywords

cellulitis
treatment failure
antibiotics
Subjects
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2. Stevens DL, Bisno AL, Chambers HF, Dellinger EP, Goldstein EJ, Gorbach SL, et al. Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America. Clin Infect Dis.2014; 59(2): e10-52. doi: 10.1093/cid/ciu444.
3. Li HK, Agweyu A, English M, Bejon P. An unsupported preference for intravenous antibiotics. PLoS Med. 2015; 12(5):
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4. Kaji AH, Schriger D, Green S. Looking through the retrospectoscope: reducing bias in emergency medicine chart
review studies. Ann Emerg Med. 2014; 64(3): 292-8. doi:10.1016/j.annemergmed.2014.03.025.
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Journal of Emergency Practice and Trauma
Volume 9, Issue 1
January 2023
Pages 1-1

  • Receive Date 14 February 2022
  • Revise Date 27 March 2022
  • Accept Date 19 April 2022

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