Periorbital cellulitis

Jump to: navigation, search

WikiDoc Resources for Periorbital cellulitis

Articles

Most recent articles on Periorbital cellulitis

Most cited articles on Periorbital cellulitis

Review articles on Periorbital cellulitis

Articles on Periorbital cellulitis in N Eng J Med, Lancet, BMJ

Media

Powerpoint slides on Periorbital cellulitis

Images of Periorbital cellulitis

Photos of Periorbital cellulitis

Podcasts & MP3s on Periorbital cellulitis

Videos on Periorbital cellulitis

Evidence Based Medicine

Cochrane Collaboration on Periorbital cellulitis

Bandolier on Periorbital cellulitis

TRIP on Periorbital cellulitis

Clinical Trials

Ongoing Trials on Periorbital cellulitis at Clinical Trials.gov

Trial results on Periorbital cellulitis

Clinical Trials on Periorbital cellulitis at Google

Guidelines / Policies / Govt

US National Guidelines Clearinghouse on Periorbital cellulitis

NICE Guidance on Periorbital cellulitis

NHS PRODIGY Guidance

FDA on Periorbital cellulitis

CDC on Periorbital cellulitis

Books

Books on Periorbital cellulitis

News

Periorbital cellulitis in the news

Be alerted to news on Periorbital cellulitis

News trends on Periorbital cellulitis

Commentary

Blogs on Periorbital cellulitis

Definitions

Definitions of Periorbital cellulitis

Patient Resources / Community

Patient resources on Periorbital cellulitis

Discussion groups on Periorbital cellulitis

Patient Handouts on Periorbital cellulitis

Directions to Hospitals Treating Periorbital cellulitis

Risk calculators and risk factors for Periorbital cellulitis

Healthcare Provider Resources

Symptoms of Periorbital cellulitis

Causes & Risk Factors for Periorbital cellulitis

Diagnostic studies for Periorbital cellulitis

Treatment of Periorbital cellulitis

Continuing Medical Education (CME)

CME Programs on Periorbital cellulitis

International

Periorbital cellulitis en Espanol

Periorbital cellulitis en Francais

Business

Periorbital cellulitis in the Marketplace

Patents on Periorbital cellulitis

Experimental / Informatics

List of terms related to Periorbital cellulitis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Synonyms and Keywords: Preseptal cellulitis

Overview

Periorbital cellulitis, also known as preseptal cellulitis, is an inflammation and infection of the eyelid and portions of skin around the eye. It may be caused by breaks in the skin around the eye, and subsequent spread to the eyelid; infection of the sinuses around the nose (sinusitis); or from spread of an infection elsewhere through the blood.

Characteristics

Periorbital cellulitis must be differentiated from orbital cellulitis, which is an emergency and requires intravenous (IV) antibiotics. In contrast to orbital cellulitis, patients with periorbital cellulitis do not have bulging of the eye (proptosis), limited eye movement (ophthalmoplegia), pain on eye movement, and loss of vision. If any of these features is present, one must assume that the patient has orbital cellulitis and begin treatment with IV antibiotics. CT scan may be done to delineate the extension of the infection.

Causes

Staphylococcus and streptococcus species are commonly implicated. The advent of the Haemophilus influenzae vaccine has dramatically decreased the incidence of periorbital and orbital cellulitis.

Treatment

Antimicrobial Regimens

  • Periocular infection[1]
  • 1. Causative pathogens
  • Streptococcus spp.
  • Methicillin-sensitive Staphylococcus aureus (MSSA)
  • Methicillin-resistant Staphylococcus aureus (MRSA)
  • Hemophilus influenzae
  • 2. Empiric antimicrobial therapy
  • 3. Pathogen-directed antimicrobial therapy
  • 3.1 Methicillin-resistant Staphylococcus aureus
  • Preferred regimen (1): Vancomycin 1 g IV q12h for 1-2 weeks
  • 3.2 Non-MRSA organisms

See also

References

  1. Bilyk JR (2007). "Periocular infection". Curr Opin Ophthalmol. 18 (5): 414–23. doi:10.1097/ICU.0b013e3282dd979f. PMID 17700236.

Donahue S, Schwartz G (1998). "Preseptal and orbital cellulitis in childhood. A changing microbiologic spectrum". Ophthalmology. 105 (10): 1902–5, discussion 1905-6. PMID 9787362.

External links




Linked-in.jpg