A recent review of POAC cellulitis cases has identified many cases where IV antibiotics have been administered for cellulitis at locations other than on limbs
A sample of these cases has been reviewed with the regional Infectious Diseases specialists and the following changes have been made to the best practice recommendations within the Cellulitis HealthPathway:
-when cellulitis location is atypical (hand, face ,head and neck, over a joint) specialist discussion is advised for all but mild cases. Many cases require specialist assessment and management in secondary care. Mild cases would be trialed with oral antibiotics and discussed with a specialist if not settling
-If giving IV antibiotics for cellulitis at atypical locations, either 1st line or when oral treatment has failed, specialist endorsement is recommended
Please would you circulate widely amongst your networks.