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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