Skin abscess +/- cellulitis
Usual Pathogens
Group A Streptococci
S. aureus
Group B,C,G Streptococci
Mild
| Empiric Therapy |
Dose |
Duration |
I&D
If any of the following:
- fever >38°C
- multiple/extensive lesions
- surrounding cellulitis
- clinical failure of/ incomplete I&D
- immunocompromised
|
| Cephalexin |
500-1000mg PO qid |
5 days |
| Empiric Therapy |
Dose |
Duration |
| Cefuroxime axetil |
500mg PO bid |
5 days |
| Empiric Therapy |
Dose |
Duration |
| Clindamycin |
300mg PO qid |
5 days |
| Empiric Therapy |
Dose |
Duration |
| Add TMP/SMX or doxycycline to cephalexin or cefuroxime |
| TMP/SMX |
1-2 DS tabs PO bid |
5 days |
| or |
|
|
| Doxycycline |
100mg PO bid |
5 days |
| Empiric Therapy |
Dose |
Duration |
| I&D |
|
|
| + |
|
|
| Cefazolin |
2g IV q8h |
5-10 days |
| + |
|
|
| TMP/SMX |
1-2 DS tabs PO bid |
|
Cefazolin allergy
