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949 Management of Peri-Orbital/Orbital Cellulitis in Childrenacross Two District General Hospitals
  1. A Kage
  1. Paediatrics, Leicester Royal Infirmary, Leicester, UK

Abstract

Aim

  1. To find out if there was uniformity in choice of antibiotics.

  2. Are blood cultures, swabs and other blood tests helpful in management.

  3. Look at involvement of other specialities in terms of follow-up and management.

Methodology Retrospective analysis of case notes with a diagnosis of preseptal/oribital cellulitis across 2 DGH. 15 such cases were recruited.

Results There was no uniformity in the antibiotics used. (5 different combinations were used).

  • Blood cultures were negative in 13 cases.

  • 6 out of 15 had CRP<15.

  • Eye swab was positive in 3 cases.

  • Allied specialities were involved in 9 cases.

  • Only1 out of the total 15 cases developed an abscess and incidentally did not have anti-staphylococcal cover.

Recommendations Education programme to raise awareness of complications of pre-septal/orbital cellulitis.

  • Involve opthalmology and otolaryngology at the earliest.

  • Twice daily assessment of colour vision, eye movements and pupil reflexes, for early identification of complications.

  • Ensure adequate analgesia.

  • Re-audit, preferably with the use of one antibiotic combination, also looking at indications for changing from IV to oral along with total duration.

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