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Evid Based Nurs 8:79 doi:10.1136/ebn.8.3.79
  • Treatment

Home based and hospital based IV antibiotics for cellulitis had similar effects on clinical outcomes


 
 Q What is the relative efficacy of home based compared with hospital based intravenous (IV) antibiotics for treatment of cellulitis?

METHODS

GraphicDesign:

randomised controlled trial.

GraphicAllocation:

concealed.

GraphicBlinding:

unblinded.

GraphicFollow up period:

⩾4 weeks.

GraphicSetting:

metropolitan Christchurch, New Zealand.

GraphicPatients:

200 patients ⩾16 years of age, who presented to the emergency department (ED) with clinical signs of cellulitis and required IV antibiotics because of severity of cellulitis or failure of oral antibiotic treatment; were mentally competent; had a telephone at home and a caregiver nearby; and resided in metropolitan Christchurch. Exclusion criteria included pregnancy, IV treatment for cellulitis of the same site in the previous month, ⩾2 signs of systemic sepsis (temperature >38°C or <36°C, heart rate >90 beats/min, and respiratory rate >20 breaths/min), and white blood cell count >12×109/l or <4×109/l and >0.1×109/l immature …

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