Module 9 Part 2 Cellulitis – Special Considerations Facial

Question 1

What are the probable organisms causing facial cellulitis in adults?

Answer 1

Group A Streptococcus and Staphylococcus aureus.

Question 2

What is the first-line treatment for facial cellulitis in adults?

Answer 2

Cefazolin (IV) at 1-2 g q8h or Ceftriaxone (IM/IV) at 1-2 g q24h.

Question 3

What is the second-line treatment for facial cellulitis in adults?

Answer 3

Clindamycin (IV/PO) at 300-450 mg QID or 600 mg q8h, or Amoxicillin/Clavulanate (PO) at 500 mg TID or 875 mg BID.

Question 4

What is the third-line treatment for facial cellulitis in adults?

Answer 4

Vancomycin (IV) at 1 g q12h.

Question 5

What are the probable organisms causing facial cellulitis in children?

Answer 5

Group A Streptococcus, Staphylococcus aureus, and Haemophilus influenzae.

Question 6

What is the first-line treatment for facial cellulitis in children?

Answer 6

Cefuroxime (IV) at 100-150 mg/kg/day divided q8h or Ceftriaxone (IV) at 75 mg/kg/day divided q12-q24h.

Question 7

What is the second-line treatment for facial cellulitis in children?

Answer 7

Amoxicillin/Clavulanate (PO) at 40 mg/kg/day amoxicillin divided TID.

Question 8

What are the recommended treatments for necrotizing fasciitis in adults?

Answer 8

Clindamycin (IV) at 600-900 mg q6h-q8h PLUS either Cefazolin (IV) at 2 g q8h or Penicillin G (IV) at 12-24 million units/day divided q4-6h.

Question 9

When should you consider consulting an infectious disease specialist in facial cellulitis cases?

Answer 9

Consider consulting when MRSA is suspected.

Question 10

What is an essential component of the management of necrotizing fasciitis?

Answer 10

Surgery is essential in the management of necrotizing fasciitis.