Cellulitis and Abscess Management in the Era of Resistance to Antibiotics (CAMERA)

Cellulitis and Abscess Management in the Era of Resistance to Antibiot

Appendix A. Skin and Soft Tissue Infection Action Plan

Date: ___________________

Allergies:

Notes:

Fever:

History of Fever: Y   N
Temperature at Visit: ________ ° 1 C  ___ 2 F ___

Vital Signs:

Pulse –
Blood Pressure –

Risk for MRSA:

Number of Infected Lesions: ________

Summary of other sites if more than four:

Antibiotic:

___ None
___ Empiric Treatment for suspected MRSA
    (e.g., clindamycin, doxycycline, minocycline, trimethoprin-sulfamethoxazole)

    Rx: ____________________________________

___ Empiric Treatment for non-MRSA or Streptococcus (e.g., beta lactam)

    Rx: ____________________________________

___ Other Rx: ____________________________________

Patient Followup:

___ PRN
___ Scheduled for _______ days

Patient Education:

___ CDC Information Sheet
___ Other: __________________________

CPT Codes:
10060 – Simple or single I&D or needle aspiration
10061 – Complicated or multiple I&D or needle aspiration

ICD-9 Codes:
041.1 Staphylococcus infection
680.X* Carbuncle or furuncle
681.00 Cellulitis or abscess of finger
681.10 Cellulitis or abscess of the toe
681.9 Cellulitis or abscess of unspecified digit
682.X* Other cellulites or abscess
* X=.0 face, .1 neck, .2 trunk, .3 arm, .4 hand, .5 buttock, .6 leg, .7 foot, .8, head, .9 elsewhere

Follow-up:

___ Final Culture Result: ____________________________________ Date: _______________
___ Patient Notified:  Y   N   ; Date: __________________
___ New Rx: __________________________
___ Other: __________________________

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