Cellulitis

Question 1

What is cellulitis?

Answer 1

Inf of skin + soft tissue underneath

Question 2

What are the CF of the skin in Cellulitis? (7 things)

Answer 2

1. Erythema
2. Warm to touch
3. Tense
4. Thickened
5. Oedematous
6. Bullae (fluid filled blisters)
7. Golden yellow crust (indicates Staph aureus inf)

Question 3

What does the Golden yellow crust in Cellulitis indicate?

Answer 3

Staph aureus inf

Question 4

What does the Golden yellow crust in Cellulitis indicate?

Answer 4

Staph aureus inf

Question 5

What are the most common causes of Cellulitis? (3 things)

Answer 5

1. Staph aureus
2. Group A Strep
3. Group C Strep

Question 6

What classification system does NICE recommend for Cellulitis?

Answer 6

Eron classification

Question 7

What are the Classes in the Eron classification of Cellulitis? (4 classes)

Answer 7

1. Class 1: No Systemic toxicity or Comorbidity
2. Class 2: Systemic toxicity or Comorbidity
3. Class 3: Significant Systemic toxicity or Significant Comorbidity
4. Class 4: Sepsis / life threatening

Question 8

When should you definitely admit Cellulitis pt for IV abx?

Answer 8

Class 3 / 4

Question 9

When should you consider admitting Cellulitis pt for IV abx? (3 things)

Answer 9

1. Frail
2. Very young
3. Immunocompromised

Question 10

What is the number 1 abx for Cellulitis?

Answer 10

Flucloxacillin

Question 11

What routes can Flucloxacillin be given through? (2 things)

Answer 11

1. Oral
2. IV

Question 12

What are other abx you can use for Cellulitis? (3 things)

Answer 12

1. Clarithromycin
2. Clindamycin
3. Co-amoxiclav