Preseptal or Orbital Cellulitis Clinical Pathway — All Settings
Preseptal or Orbital Cellulitis Clinical Pathway — All Settings
Goals
- Reduce variability in clinical evaluation and treatment for children with preseptal or orbital cellulitis
- Standardize
- Acute evaluation
- Photographic documentation
- Decision-making process for surgical management
- Consultation
- Admission and discharge criteria
- Antibiotic choice
- Outpatient follow-up
- Decreasing repeat imaging or other testing
Metrics
- Hospital length of stay by diagnosis
- % of children who require antibiotic escalation
- % of children requiring second imaging
- % of admitted children who follow up with Ophthalmology
- % of preseptal cellulitis managed outpatient later admitted
- Complications
- Vision loss, motility/alignment (strabismus), optic nerve atrophy
- Intracranial spread, mortality
- Readmissions
- Days to readmission
- Compliance with antibiotic guidelines
- Utilization of labs