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Cellulitis HealthPathway-important updated advice for atypical location sites (e.g. hands, face, over a joint)

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 pre-approval is required for POAC funding

Please would you circulate widely amongst your networks. We appreciate change takes time to implement and therefore any claims received prior to Monday 5th October will be marked as borderline, paid and clinics emailed individually  with the updated advice

From Monday 5th October, claims outside this updated regional best practice recommendation will be declined

For any feedback or queries kindly email the POAC regional Nurse Advisor


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