How do you determine the duration and taper of systemic corticosteroids when you add them alongside antibiotics for orbital cellulitis?

There is no 'standard of care' answer for this. My personal preference is the following:

• Pediatric patients -- 0.25 to 0.5 mg/kg dexamethasone daily (given in AM) for up to 3 days, starting the day after source control/cultures from surgery. Higher dose/longer duration if very inflamed, and lower d...