Carbuncles
- Recommend incision and drainage and C&S of pus, probing cavities to break up loculations, and covering with dry dressing.
Usual Pathogens
S. aureus
Limited disease
| Empiric Therapy | Dose | Duration |
|---|---|---|
| Hot compresses + Antiseptic cleanser |
Unresponsive to above or indication for systemic antibiotics
| Empiric Therapy | Dose | Duration |
|---|---|---|
| Cloxacillin | 500mg PO qid | 7 days |
| or | ||
| Cephalexin | 500mg PO qid | 7 days |
Penicillin and cephalexin allergy
| Empiric Therapy | Dose | Duration |
|---|---|---|
| TMP/SMX | 1 DS tab PO bid | 7 days |
| or | ||
| Doxycycline | 100mg PO bid | 7 days |
| or | ||
| Clindamycin | 300mg PO qid | 7 days |
MRSA suspected
| Empiric Therapy | Dose | Duration |
|---|---|---|
| TMP/SMX | 1-2 DS tabs PO bid | 7 days |
| or | ||
| Doxycycline | 100mg PO bid | 7 days |