refer adults with an infected leg ulcer to hospital if they have any symptoms or signs suggesting a more serious illness or condition, such as sepsis, necrotising fasciitis or osteomyelitis
consider referring or seeking specialist advice for adults with an infected leg ulcer if they:
have a higher risk of complications because of comorbidities, such as diabetes or immunosuppression
have lymphangitis
have spreading infection that is not responding to oral antibiotics
cannot take oral antibiotics (exploring locally available options for giving intravenous or intramuscular antibiotics at home or in the community, rather than in hospital, where appropriate)
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