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Staphylococcal Scalded Skin Syndrome Clinical Pathway – Emergency Department and Inpatient

Emergency Department and Inpatient Clinical Pathway for the Evaluation and Management of Staphylococcal Scalded Skin Syndrome

 
 
 
 

Team Assessment

 
 
Sepsis huddle as indicated
 
 
Features Consistent with SSSS
 
 
  • Pain Management
    • Acetaminophen, ibuprofen, IV ketorolac as needed
  • Blood, skin cultures not routinely recommended
  • Antibiotics
    • IV Cefazolin
    • Consider PO cephalexin for children who are able to tolerate PO
  • Hydration
    • IVF (NS bolus, MIVF) as indicated
Diagnosis early in the disease course can be challenging. Look for painful erythroderma accentuated on face, neck and skin folds.
 
 
Admit
 
 

Inpatient Management

  • Continue cefazolin or cephalexin
  • Hydration
    • IVF as indicated, advance to PO as tolerated
  • Pain Management
    • Acetaminophen, ibuprofen, IV ketorolac as needed
  • Inpatient Gentle Skin Care
  • Expect skin desquamation to continue
  • Consult Dermatology for new symptoms or not improving
 
 

Discharge Criteria

 

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