Preseptal or Orbital Cellulitis Clinical Pathway, All Settings – Admission Considerations for Preseptal Cellulitis

Preseptal or Orbital Cellulitis Clinical Pathway — All Settings

Admission Considerations for Preseptal Cellulitis

Most children with preseptal cellulitis can be managed as outpatients.

Consider inpatient admission if:

  • Child < 12 mos of age
  • Significant vital sign abnormalities, systemic symptoms (e.g., SIRS)
  • Rapidly expanding cellulitis
  • Concern for eyelid abscess
  • Failed appropriate outpatient medications
  • Cannot tolerate oral medication

Note: Fever alone in setting of preseptal cellulitis is not an indication
for admission.