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cellulitis

ANA4 profile image
ANA4
26 Replies

Hello,

Has anyone had cellulitis? I have had it for just over a week.

I have just completed a 2 day course of Ciprobay 500 and it didn’t work then I had a 2 day of Meronam 1gm tds by injection and I can tell it works good.

Now, I need your advice if I can travel for a week with my oral antibiotic Augmentin 1g plus Dalacin C 150mg otherwise, I will lose my booking, hotel reservation and the joyful of new year holiday.

One of my doctors does’t mind and the second preferred to cancel everything until it’s gone as this infection is a bit serious.

Merry Christmas and Happy New Year. Wish you all a safe.

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ANA4
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26 Replies
MistyMountainHop profile image
MistyMountainHop

Hello ANA4,

I've had it about four times (a lot worse than your photo').

I went on holiday while l had cellulitis, with no problems....

AussieNeil profile image
AussieNeilAdministrator

It's awkward when you get differing medical opinions. isn't it? I've had cellulitis three times and twice needed IV antibiotics in hospital to deal with the infections, but I had chronic neutropenia. If you do decide to go on holidays, make certain that you know where the nearest hospitals are and take a reliable thermometer with you to monitor your body temperature. Also equate yourself with the symptoms of sepsis and keep an eye out for lymphangitis. healthunlocked.com/cllsuppo...

Neil

ANA4 profile image
ANA4 in reply to AussieNeil

Thank you for your reply .

I don’t think it’s easy to go to hospital, my trip 5 days only full of activity. I know it’s too risky to travel my things was planned with a group and I feel sad to cancel the whole thing.

LeoPa profile image
LeoPa in reply to ANA4

Better to be sad than sorry. Get well soon!

LeoPa profile image
LeoPa in reply to ANA4

I just read yesterday that raw honey dressing helps to heal wounds that heal slowly. Ulcers and such. Could it work with cellulitis?

AussieNeil profile image
AussieNeilAdministrator in reply to LeoPa

Unpasteurised (raw) honey is not recommended for those who are neutropenic by many cancer centres, such as Memorial Sloane Kettering Cancer Centre

mskcc.org/experience/patien... and that's despite some stomach acid protection. So if there is any broken skin, raw honey would be contraindicated. That an infection has developed shows that that immunity is lacking.

Neil

LeoPa profile image
LeoPa in reply to AussieNeil

Thank you. Would pasteurized be ok? Honey doesn't spoil so bacteria probably hates it. But I'm not sure how it heals wounds that don't heal easily. Many swear by it nonetheless. The link doesn't work. Page can't be found.

SofiaDeo profile image
SofiaDeo in reply to AussieNeil

Actually, there is research for honey and specifically manuka honey in wound care, for open lesions.

ncbi.nlm.nih.gov/pmc/articl...

ncbi.nlm.nih.gov/pmc/articl...

ncbi.nlm.nih.gov/pmc/articl...

I used it on my MRSA lesions when I had them on my lower leg/tibia some years ago. I alternated with colostrum. This was in addition to chlorhexidine wash, not as a substitute.

Another plug for the air santizers I recommend, I am now MRSA negative, not colonized even though I was a healthcare worker (risk factor) and had an infection (another risk factor). Hospital staff was surprised when I tested negative pre-op earlier this year; their experience with immune compromised folk getting MRSA was that it was uncommon to clear it. It had been my observation too, when I was still working.

After my leg MRSA, for a few months I was getting mild cellulitis every time I got a cut/tear at my cuticles. I was concerned there was MRSA still on me & around the house. I aggressively cleaned most everything with chlorhexidine, took a series of mild bleach baths (all monitored by doc, there's a protocol don't just decide to dump bleach into bathtub randomly), and purchased these air sanitizers (hypoair.com and airoasis.com) that had studies showing they cleared surfaces in the room in addition to the air.

Getting back to the point, LeoPa, as AussieNeil recommends, honey is not generally recommended topically on broken skin for immune compromised people. I did it with my doc monitoring. I would not recommend others try it on their own.

AussieNeil profile image
AussieNeilAdministrator in reply to SofiaDeo

SofiaDeo, and LeoPa LeoPa, I was going to mention Manuka honey, but the basic issue with honey is that it contains a collection of bacterial and fungal spores and viruses from all the flowers visited by the foraging bees. The antibacterial and antiviral properties in Manuka honey are the bees' protective response to the bacteria and viruses they collect, but are destroyed in the pasteurisation process. Normally it's the sugar content in the honey which dessicates bacteria, but spores can survive this and when the honey is diluted in a wound, you lose that protective effect.

There's good evidence that Manuka honey can be quite effective in healing some wounds, so much so, that it is highly prized and as a result around 50% of what is sold is considered to be fake. For those who can potentially benefit from it, you need the monofloral raw honey product from New Zealand or Australia, not a blended honey product. (This is an issue for honey in general unfortunately.)

Neil

SofiaDeo profile image
SofiaDeo in reply to AussieNeil

yup, I did my research at umf.org.nz and selected Manukora, which a US company imports. I am willing to spend the extra $$ for the source documentation/ability to trace, similar to some pharmaceuticals. I can buy it on Amazon here.

Manukora scannable trust code
SofiaDeo profile image
SofiaDeo in reply to SofiaDeo

Package

Manukora package
SofiaDeo profile image
SofiaDeo in reply to SofiaDeo

This jar came from an apiary in East Cape, NZ

Trust code certificate
SofiaDeo profile image
SofiaDeo in reply to SofiaDeo

Here's the UMF certificate, looks like the company last tested/certified this apiary in 2021

UMF certificate
Donnamccll profile image
Donnamccll in reply to AussieNeil

I work in the healthcare setting. Nurses use Manuka honey creams and ointments for wound care. Always best to call the doc or care provider first.

Vlaminck profile image
Vlaminck in reply to AussieNeil

Pediatricians say honey is a no-no for children under 1 year, presumably because of the bacteria, etc.

ANA4 profile image
ANA4

You are absolutely right. Thank you

mdsp7 profile image
mdsp7

I think you'd be wise to postpone your trip. Better safe than sorry. Who knows what kinds of problems you'll avoid by getting all better first. With so many respiratory illnesses going around, too, there's no sense putting yourself in jeopardy in an effort to have a good time. These are my thoughts. Good luck and get well soon!

opal11uk profile image
opal11uk

Of you decide to go take out holiday medical insurance just in case

BallyB profile image
BallyB

I have had cellulitis three times following vaccinations of various kinds resulting in hospitalizations and iv antibiotics.

AussieNeil profile image
AussieNeilAdministrator in reply to BallyB

The nurse giving me my recent COVID-19 booster was insistent that wiping my skin was no longer required, but eventually agreed to do so after a lengthy discussion. I informed her I'd had IV antibiotics for cellulitis. Do you recall whether your skin was cleaned?

Neil

BallyB profile image
BallyB in reply to AussieNeil

They swabbed me multiple time and used a surgical prep solution as well, still got cellulitis. I could be some component of the various vaccines, but my clinic is stumped.

MistyMountainHop profile image
MistyMountainHop in reply to AussieNeil

About 3-4 years ago, I was told by my local surgery nurse, that a sanitising wipe was no longer needed (surgery policy!) for injections ......needless to say, I got cellulitis. I informed my cancer department at Guy's hospital. They were fuming.

No more procedures at my surgery, for me.

I insist on hospital appointments, only.

bayside64 profile image
bayside64

I went to the ER for cellulitis. They ordered oral antibiotics. Next day was worse. My hemo/onc said I must have IV antibiotics in the hospital. Good luck for whatever you decide.

W00dfin profile image
W00dfin

please be careful. My cellulitis put me in the hospital on IV antibiotics. It took 3-4 different trials until doxycycline took care of it.

SofiaDeo profile image
SofiaDeo

This is awful, but travelling with an infection during a crowded holiday, to do more activity? "Rest" is recommended as part of treatment, not sure why one doc says it's OK to go on holiday, let alone an active one. They must have forgotten you are immune impaired, you must look pretty healthy otherwise!

my.clevelandclinic.org/heal...

hopkinsmedicine.org/health/...

DanBro1 profile image
DanBro1

I have been battling cellulitis for years - much more severe than your photo shows. My docs do not seem too concerned...even my dermatologist. Told me to use plain Vaseline on it. Seriously! Think I need a new Primary Care doc...

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