Cellulitis

Important: Therapy

• Take appropriate specimens before starting therapy, consult dermatologist and medical microbiologist for patients with severe or recurrent infections.
• Send blood for culture
• Consider the necessity for surgical intervention, tetanus prophylaxis and topical cleaning
• Chronic wounds such as pressure sores and leg ulcers do not require antibiotics unless there is clinical evidence of infection eg cellulitis, discharge or acute pain
• Longer courses may be required in severe infections
• If MRSA is likely use IV Vancomycin as 1st line

Important: Therapy

Oral Flucloxacillin 1g 6 hourly 

Notes:

If Strep pyogenes isolated rationalise therapy ie change to or add benzylpenicillin IV or amoxicillin oral

Important: Therapy

Oral Clarithromycin 500mg 12 hourly

 

Important: Therapy

IV Flucloxacillin 1 - 2g 6 hourly (use 2g if BMI >30)

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Oral Flucloxacillin 1g 6 hourly 

Notes:

If Strep pyogenes isolated rationalise therapy ie change to or add benzylpenicillin IV or amoxicillin oral

Important: Therapy

Vancomycin IV as per guideline

Use preferred calculator on Hospital portals page [intranet access only] or calculator on app for intermittent dosing.

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Oral Doxycycline 100mg 12 hourly