Involving trunk, neck, head, extremity
Usual PathogensS. aureus/MRSA
Group A Streptococci
Mild
Temp ≤ 38.5°C and pulse ≤ 110/min| Empiric Therapy | ||
|---|---|---|
|
Local management Antibiotics not generally recommended unless significant underlying conditions, e.g. obesity, wound overlying joint, immunosuppression. |
Temp > 38.5°C or pulse > 110/min, or WBC > 12 x 109/L
| Empiric Therapy | Dose | Duration |
|---|---|---|
| Cephalexin | 40mg/kg/d PO div qid | 24-48 hours |
ß-lactam allergy
| Empiric Therapy | Duration | |
|---|---|---|
| Clindamycin | 20mg/kg/d PO div qid | 24-48 hours |
Moderate-severe
| Empiric Therapy | Duration | |
|---|---|---|
| Cefazolin | 75mg/kg/d IV div q8h | 5-10 days |
ß-lactam allergy/MRSA suspected
| Empiric Therapy | Duration | |
|---|---|---|
| Vancomycin | 60mg/kg/d IV div q6h | 5-10 days |