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 | Duration | |
|---|---|---|
| Hot compresses + Antiseptic cleanser | ||
Unresponsive to above or indication for systemic antibiotics
| Empiric Therapy | Dose | Duration |
|---|---|---|
| Cloxacillin | 40-50mg/kg/d PO div qid | 7 days |
| or | ||
| Cephalexin | 40mg/kg/d PO div qid | 7 days |
ß-lactam allergy
| Empiric Therapy | Duration | |
|---|---|---|
| TMP/SMX (if > 1 month old) | 8-12mg TMP/kg/d PO div bid | 7 days |
| or | ||
| Clindamycin | 20mg/kg/d PO div qid | 7 days |
MRSA suspected
| Empiric Therapy | Duration | |
|---|---|---|
| TMP/SMX (if > 1 month old) | 8-12mg TMP/kg/d PO div bid | 7 days |
| or | ||
| Doxycycline (if > 8 years old) | 2-4mg/kg/d PO div bid | 7 days |