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How do you determine the duration and taper of systemic corticosteroids when you add them alongside antibiotics for orbital cellulitis?

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2 Answers
Mednet Member
Mednet Member
Ophthalmology · Harvard Medical School

There is no 'standard of care' answer for this. My personal preference is the following:

  • Pediatric patients -- 0.25 to 0.5 mg/kg dexamethasone daily (given in AM) for up to 3 days, starting the day after source control/cultures from surgery. Higher dose/longer duration if very inflamed, and lower d...

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Mednet Member
Mednet Member
Ophthalmology · Advanced Eye Centers Inc

I am not sure why this obsession with giving 'steroids' in the context of a bacterial infection? When you look at the logic, I am not convinced there is any. If I have a bacterial infection on my finger or wherever, I do not prescribe, and I would not take prednisone or dexamethasone, so why use ste...

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