PHINMA University of Pangasinan

College of Health Sciences

Name: _____________________________________________ Date: _________________________

Year/block/group: _____________ Hospital/area: _______________________ Clinical Instructor:__________________

Title of Journal Reviewed:

Summary of Journal Reviewed:

Cellulitis is an infection of the deep dermis and subcutaneous tissue, presenting with
expanding erythema, warmth, tenderness, and swelling. Cellulitis is a common global health
burden, with more than 650,000 admissions per year in the United States alone.
In the United States, an estimated 14.5 million cases annually of cellulitis account for $3.7
billion in ambulatory care costs alone. The majority of cases of cellulitis are nonculturable and
therefore the causative bacteria are unknown. In the 15% of cellulitis cases in which organisms are
identified, most are due to β-hemolytic Streptococcus and Staphylococcus aureus. There are no
effective diagnostic modalities, and many clinical conditions appear similar. Treatment of primary
and recurrent cellulitis should initially cover Streptococcus and methicillin-sensitive S. aureus, with
expansion for methicillin-resistant S. aureus (MRSA) in cases of cellulitis associated with specific
risk factors, such as athletes, children, men who have sex with men, prisoners, military recruits,
residents of long-term care facilities, those with prior MRSA exposure, and intravenous drug users.
Five days of treatment is sufficient with extension if symptoms are not improved. Addressing
predisposing factors can minimize risk of recurrence.
The diagnosis of cellulitis is based primarily on history and physical examination. Treatment
of uncomplicated cellulitis should be directed against Streptococcus and methicillin-sensitive S.
aureus. Failure to improve with appropriate first-line antibiotics should prompt consideration for
resistant organisms, secondary conditions that mimic cellulitis, or underlying complicating
conditions such as immunosuppression, chronic liver disease, or chronic kidney disease.
https://pubmed.ncbi.nlm.nih.gov/27434444/

__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
________________________________________________________________________________________________
 University of Pangasinan
PHINMA Education Network
College of Health Sciences

Name: _____________________________________________ Date: _________________________

Level/block/group: _____________ Hospital/area: ______________________ Clinical Instructor:__________________

Reflection: (minimum of 200 words)

__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________