A client is admitted with orbital cellulitis of the right eye. The most common cause of orbital cellulitis in adults is an infection caused by staphylococci and streptococci as a result of:

• Bacterial sinusitis.
• Traumatic induction of bacteria.
• Intraocular surgery.
• Conjunctivitis.


Bacterial sinusitis.

Rationale: Orbital cellulitis is inflammation of the postseptal orbital tissue from the spread of bacteria from elsewhere, usually from the nasal and sinus system. The most common causative organisms in adults are staphylococci and streptococci from bacterial sinusitis. It can be caused by traumatic induction of bacteria, but it is not the most common cause. Infection is a risk of any surgery, but an infection from intraocular surgery generally does not cause orbital cellulitis. Conjunctivitis is an inflammation of the conjunctiva caused by a bacteria, virus, or allergen.

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