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Diagnosis of Class II cellulitis
requiring IV antibiotics
Yes
Patient able to attend
Singleton MIU as an
outpatient?
Yes
No
Does the patient have >2 signs of
systemic sepsis?
•
•
•
•
Hospital admission required
Temperature >38 or <36oC
Pulse >90/min
Systolic BP <100
RR >20
No
Yes
Hospital admission required
Does the patient have >1 of the following?
• WBC >14 or <4
• Severe lymphangitis, blistering or large infected area
• Immunosuppression
• Pregnant
• Poorly controlled diabetes
• Peripheral vascular disease
• Lives alone
• Have poor vision/hearing
• Psychological or alcohol/drug misuse issues that
would make outpatient attendance unsafe
• Hypertensive (allergic to Penicillin or Cephalosporin
• Hepatitic and/or renal disease
• Concurrent uncontrolled illness
• Facial/orbital cellulitis
• MRSA
No
Patient suitable for outpatients IV
administration protocol in
Singleton MIU
• Consent given and documented?
• Administer antibiotics using
protocol
Yes
Hospital admission required