In this section
Typical presentation of periorbital/orbital cellulitis
Consider gonorrhoea and chlamydia infections in neonatal presentation (send PCR swabs)
Bilateral findings and/or painless (or non-tender) swelling in a well looking child is more likely to be an allergic reaction.
Antibiotic guidelines may vary depending on local resistance patterns
Inpatient investigations and management as per orbital cellulitis
Inpatient management or consider Hospital in the home (HITH) admission if available locally
3rd generation cephalosporin
Duration based on clinical severity and improvement. Usually at least
3-4 days, then switch to oral.
Severe Periorbital cellulitis
Moderate Periorbital cellulitis
If suspected MRSA:
Duration based on clinical severity and improvement. Usually 1-2 days,
then switch to oral.
Mild Periorbital cellulitis
*dosing sourced from AMH, for children aged over 1 month
For emergency advice and paediatric or neonatal ICU
transfers, see Retrieval
Last updated July, 2019