Canadian Journal of Infectious Diseases and Medical Microbiology

Canadian Journal of Infectious Diseases and Medical Microbiology / 2000 / Article

Care Pathways | Open Access

Volume 11 |Article ID 919543 |

H Grant Stiver, The Cellulitis Care Plan Working Group, "An Algorithm for the Management of Acute Bacterial Cellulitis", Canadian Journal of Infectious Diseases and Medical Microbiology, vol. 11, Article ID 919543, 4 pages, 2000.

An Algorithm for the Management of Acute Bacterial Cellulitis


Acute bacterial cellulitis is a common infection seen by family physicians; it is usually caused by beta-hemolytic streptococci and/or Staphylococcus aureus. Cellulitis following bite wound injuries from animals and humans requires antibiotics directed at the mouth microflora characteristic of the biting animal. Depending on the severity and the rapidity of the progression of the infection, as well as patient compliance with oral therapy, intravenous antibiotics may be required for treatment, and this may often be accomplished with an outpatient administration program. In addition to intravenous and subsequent oral step-down antibiotic therapy, special attention needs to be applied to reducing or eliminating predisposing factors such as pre-existent edema and local fungi, or other forms of dermatitis. With effective antibiotic therapy, the erythema generated by acute cellulitis may resolve quickly or slowly, but usually does so progressively. Patients with persistent skin inflammation and swelling must be examined carefully for subcutaneous abscess formation.

Copyright © 2000 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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