Clinical Classification of Eron for Cellulitis

Eron developed a clinical classification of cellulitis that can be used to guide management.

Parameters:

(1) clinical status

(2) comorbidity

Clinical Status	Comorbidity	Class
afebrile, healthy looking	none unstable	1
febrile, ill-appearing	none unstable	2
toxic appearing	one or more unstable comorbidity	3
toxic appearing	limb-threatening infection	3
sepsis syndrome or life-threatening infection		4

where:

• Toxic appearance: changes in mental status, tachycardia, tachypnea, hypotension

Class	Management
1	oral antibiotics as an outpatient
2	consider observation, consider outpatient antibiotic therapy (OPAT)
3	admit to hospital, intravenous antibiotics initially
3	admit to hospital, intravenous antibiotics initially
4	admit to hospital, intravenous antibiotics initially

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