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Cellulitis
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==Treatment== Antibiotics are usually prescribed, with the agent selected based on suspected organism and presence or absence of [[purulence]],<ref name=":0" /> although the best treatment choice is unclear.<ref>{{cite journal |last1=Kilburn |first1=SA |last2=Featherstone |first2=P |last3=Higgins |first3=B |last4=Brindle |first4=R |title=Interventions for cellulitis and erysipelas |journal=The Cochrane Database of Systematic Reviews |date=16 June 2010 |volume=2020 |issue=6 |pages=CD004299 |pmid=20556757 |doi=10.1002/14651858.CD004299.pub2|pmc=8693180 }}</ref> If an abscess is also present, surgical drainage is usually indicated, with antibiotics often prescribed for co-existent cellulitis, especially if extensive.<ref name=":1" /> Pain relief is also often prescribed, but excessive pain should always be investigated, as it is a symptom of [[necrotizing fasciitis]]. Elevation of the affected area is often recommended.<ref name="pmid32965485">{{cite journal |vauthors = Han J, Faletsky A, Mostaghimi A |title=Cellulitis. |journal=JAMA Dermatol |year=2020 |volume=156 |issue=12 |page=1384 |pmid=32965485 |doi=10.1001/jamadermatol.2020.2083 | doi-access=|s2cid=221862981 }}</ref> [[Steroids]] may speed recovery in those on antibiotics.<ref name=Vary2014/> ===Antibiotics=== Antibiotics choices depend on regional availability, but a penicillinase-resistant [[semisynthetic penicillin]] or a first-generation [[cephalosporin]] is currently recommended for cellulitis without abscess.<ref name=":0" /> A course of antibiotics is not effective in between 6 and 37% of cases.<ref>{{cite journal |last1=Obaitan |first1=Itegbemie |last2=Dwyer |first2=Richard |last3=Lipworth |first3=Adam D. |last4=Kupper |first4=Thomas S. |last5=Camargo |first5=Carlos A. |last6=Hooper |first6=David C. |last7=Murphy |first7=George F. |last8=Pallin |first8=Daniel J. |title=Failure of antibiotics in cellulitis trials: a systematic review and meta-analysis |journal=The American Journal of Emergency Medicine |date=May 2016 |doi=10.1016/j.ajem.2016.05.064 |pmid=27344098 |volume=34 |issue=8 |pages=1645β52}}</ref>
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