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cellulitis_erysipelas%20(pediatric)
CELLULITIS/ERYSIPELAS (PEDIATRIC)
Treatment Guideline Chart
Cellulitis is an acute spreading skin infection that may go deep, involving the subcutaneous tissues.
It typically occurs in areas where the skin integrity has been compromised.
May result from blood-borne spread of infection to the skin and subcutaneous tissues.
It is commonly caused by beta-hemolytic streptococci and Staphylococcus aureus in adults and Haemophilus influenzae type B in patients <3 year of age.

Cellulitis/Erysipelas (Pediatric) References

  1. Bhumbra NA, McCullough SG. Skin and subcutaneous infections. Prim Care Clin Office Pract. 2003 Mar;30(1):1-24. http://www.ncbi.nlm.nih.gov/pubmed/?term=12825248. PMID: 12825248
  2. Liu C, Bayer A, Cosgrove SE, et al; Infectious Diseases Society of America. Clinical practice guidelines by the Infectious Diseases Society of America for the treatment of methicillin-resistant staphylococcus aureus infections in adults and children. Clin Infect Dis. 2011 Feb;52(3):e18-e55. http://cid.oxfordjournals.org/content/early/2011/01/04/cid.ciq146.full. PMID: 21208910
  3. Rhody C. Bacterial infections of the skin. Prim Care. 2000 Jun;27(2):459-473. PMID: 10815055
  4. Stevens DL, Bisno AL, Chambers HF, et al. Practice guidelines for the diagnosis and management of skin and soft-tissue infections. Clin Infect Dis. 2005 Nov;41(10):1373-1406. doi: 10.1086/497143. PMID: 16231249
  5. Stulberg DL, Penrod MA, Blatny RA. Common bacterial skin infections. Am Fam Physician. 2002 Jul;66(1):119-124. http://www.aafp.org/. PMID: 12126026
  6. Habif TP. Bacterial infections. Clinical dermatology: A color guide to diagnosis and therapy. 4th ed. Pennsylvania: Mosby, Elsevier; 2004
  7. Ferri FF. Cellulitis. In: Ferri FF. Ferri’s clinical advisor: instant diagnosis and treatment. 1st. Philadelphia, PA: Mosby, Elsevier; 2008.
  8. Swartz MN, Pasternack MS. Cellulitis and subcutaneous tissue infections. In: Mandell GL, Bennett JE, Dolin R, et al, eds. Principles and Practice of Infectious Diseases. 6th ed. Philadelphia, PA: Churchill Livingstone, Elsevier; 2005.
  9. Morelli JG. Cutaneous bacterial infections. In: Kliegman RM, Behrman RI, Jenson HB, et al, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, PA: Saunders, Elsevier; 2007.
  10. Ferri FF. Cellulitis. In: Ferri FF, Cooper E, McClure M. Practical guide to the care of the medical patient. 7th. Philadelphia, PA: Mosby, Elsevier; 2007.
  11. MedWorm http://www.medworm.com/rss/index.php/Dermatology/12/ http://www.medworm.com/rss/medicalfeeds/specialities/Dermatology-News.xml
  12. MedWormhttp://www.medworm.com/rss/index.php/Pediatrics/33/http://www.medworm.com/rss/medicalfeeds/specialities/Pediatrics.xml
  13. Micali G, Dhawan V, et al. Cellulitis. eMedicine. ttp://www.emedicine.com. Aug 2005.
  14. Baddour LM. Cellulitis and erysipelas. UptoDate website. http://www.uptodate.com/contents/cellulitis-and-erysipelas. Jan 2015. Accessed 25 Feb 2015.
  15. Ferri FF. Cellulitis. In: Ferri FF. Ferri’s Clinical Advisor 2015. 1st ed. Philadelphia, PA: Mosby, Elsevier; 2015:263-263.e1.
  16. Heagerty AHM. Cellulitis and erysipelas. In: Lebwohl MD. Treatment of Skin Diseases: Comprehensive Therapeutic Strategies. 4th ed. Philadelphia, PA: Elsevier Limited; 2014:130-132.
  17. Kaplan SL. Evaluation and management of suspected methicillin-resistant Staphylococcus aureus skin and soft tissue infections in children. UptoDate website. http://www.uptodate.com/contents/evaluation-and-management-of-suspected-methicillin-resistant-staphylococcus- aureus-skin-and-soft-tissue-infections-in-children?source= see_link. Aug 2014.
  18. Stevens DL, Bisno AL, Chambers HF, et al. Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America. Clin Infect Dis. 2014 Jul;59(2):147-159. doi: 10.1093/cid/ciu296. Accessed 25 Feb 2015. PMID: 24947530
  19. Ortiz-Lazo E, Arriagada-Egnen C, Poehis C, et al. An update on the treatment and management of cellulitis. Actas Dermosifiliogr. 2019 Mar;110(2):124-130. doi: 10.1016/j.adengl.2019.01.011. PMID: 30390916
  20. Kaplan SL. Suspected Staphylococcus aureus and streptococcal skin and soft tissue infections in children >28 days: evaluation and management. UpToDate. https://www.uptodate.com. 09 Aug 2021.
  21. Kaplan SL. Suspected Staphylococcus aureus and streptococcal skin and soft tissue infections in neonates: evaluation and management. UpToDate. https://www.uptodate.com. 27 Jul 2021.
  22. Lee RA, Centor RM, Humphrey LL, et al. Appropriate use of short-course antibiotics in common infections: best practice advice from the American College of Physicians. Ann Intern Med. 2021 Jun;174(6):822-827. doi: 10.7326/M20-7355. PMID: 33819054
  23. National Institute for Health and Care Excellence (NICE). Cellulitis and erysipelas: antimicrobial prescribing. NICE. http://www.nice.org.uk/. 27 Sep 2019.
  24. Spelman D, Baddour LM. Cellulitis and skin abscess: epidemiology, microbiology, clinical manifestations, and diagnosis. UpToDate. https://www.uptodate.com. 26 Jul 2021.
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