What are indications for outpatient and inpatient therapy in cellulitis empiric therapy?

Updated: Apr 15, 2021
  • Author: Alfred Scott Lea, MD; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

Answer

Outpatient therapy with oral antibiotics is indicated for healthy individuals who have no evidence of sepsis (qSOFA  ≤ 1 ).19

Inpatient therapy with parenteral antibiotics is recommended for patients with sepsis, hemodynamic instability, and/or mental status changes. Additional considerations include poor compliance, failure to absorb or respond to oral antibiotics, rapid  progression of disease, extensive  involvement past a joint of an extremity, extensive involvement of two body regions (ie, thorax and abdomen, etc.), facial involvement, and immune suppression. Parenteral therapy is continued until the patient is stable and improving (usually 1-3 days).{ref 1}


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