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Over-admission and over-treatment of patients with cellulitis: a 5-year audit against international guidelines.

Ailbhe L KielySami Abd ElwahabDeclan McDonnellRoisin TullyMaria RandlesMary HickeyFelix Ofori-KumaIvan IvanovskiSuhail KhanKarl SchmidtKenneth Mealy
Published in: Irish journal of medical science (2019)
There is a significant discrepancy between current clinical practice and international guidelines for the management of cellulitis in Ireland; local guidelines are not in keeping with newer evidence and there is a lack of national guidelines for this common condition. Closer adherence to international guidelines would significantly reduce costs by reducing unnecessary admissions and initial monotherapy would improve antibiotic stewardship. This study shows a clear need for local institutions to re-examine antibiotic guidelines to ensure the HSE provides effective evidence-based treatment in the correct setting.
Keyphrases
  • clinical practice
  • emergency department
  • randomized controlled trial
  • skeletal muscle
  • adipose tissue
  • insulin resistance
  • study protocol
  • acute care