A review of periorbital cellulitis guidelines in Fifty‐One Acute Admitting Units in the United Kingdom

A review of periorbital cellulitis guidelines in Fifty‐One Acute Admitting Units in the United... KeypointsThere is a lack of readily available formal guidanceCurrent guidelines lack first‐line anaerobic coverCurrent guidelines are not clear on the use contrast‐enhanced CT orbit and paranasal sinusesFrequency of ophthalmology review in patients with periorbital cellulitis is not clearly specified in current guidelinesIndications for surgical intervention in periorbital cellulitis are not clearly statedINTRODUCTIONPeriorbital cellulitis is an acute infection of the periorbital soft tissues with potential sight and life‐threatening complications that most commonly occurs in children. Post‐septal abscess formation can cause loss of sight; furthermore, posterior spread of infection may progress to cavernous sinus thrombosis and intracranial infection. In England April 2014‐March 2015, 3687 patients attended hospital with periorbital cellulitis costing the National Health Service over £9.5 million per annum before considering the cost of treating its complications.Management of periorbital cellulitis is complex, and it is not uncommon for patients to fall between up to three specialties: otolaryngology, ophthalmology and paediatrics (depending on the age of the patient). Otolaryngologists may aid with ascertaining the aetiology of the condition as well as providing surgical intervention.The objective of this study was to establish the current periorbital cellulitis management strategies in the United Kingdom (UK) through analysis of the prevalence of guidelines and comparison http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Clinical Otolaryngology Wiley

A review of periorbital cellulitis guidelines in Fifty‐One Acute Admitting Units in the United Kingdom

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Publisher
Wiley
Copyright
© 2018 John Wiley & Sons Ltd
ISSN
1749-4478
eISSN
1749-4486
D.O.I.
10.1111/coa.13020
Publisher site
See Article on Publisher Site

Abstract

KeypointsThere is a lack of readily available formal guidanceCurrent guidelines lack first‐line anaerobic coverCurrent guidelines are not clear on the use contrast‐enhanced CT orbit and paranasal sinusesFrequency of ophthalmology review in patients with periorbital cellulitis is not clearly specified in current guidelinesIndications for surgical intervention in periorbital cellulitis are not clearly statedINTRODUCTIONPeriorbital cellulitis is an acute infection of the periorbital soft tissues with potential sight and life‐threatening complications that most commonly occurs in children. Post‐septal abscess formation can cause loss of sight; furthermore, posterior spread of infection may progress to cavernous sinus thrombosis and intracranial infection. In England April 2014‐March 2015, 3687 patients attended hospital with periorbital cellulitis costing the National Health Service over £9.5 million per annum before considering the cost of treating its complications.Management of periorbital cellulitis is complex, and it is not uncommon for patients to fall between up to three specialties: otolaryngology, ophthalmology and paediatrics (depending on the age of the patient). Otolaryngologists may aid with ascertaining the aetiology of the condition as well as providing surgical intervention.The objective of this study was to establish the current periorbital cellulitis management strategies in the United Kingdom (UK) through analysis of the prevalence of guidelines and comparison

Journal

Clinical OtolaryngologyWiley

Published: Jan 1, 2018

References

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