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  • Cellulitis and Abscess Antibiotic Table by Condition

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    Aulia D. Zahara
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    This document provides antibiotic recommendations for different skin and soft tissue infections including non-purulent cellulitis, purulent infections/abscesses, bite wounds, and facial cellulitis of dental origin. For each condition, it lists preferred intravenous (IV) and oral antibiotic choices as well as IV and oral alternative options. It also notes criteria for when no antibiotics are needed after drainage of an abscess.

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    This document provides antibiotic recommendations for different skin and soft tissue infections including non-purulent cellulitis, purulent infections/abscesses, bite wounds, and facial cellulitis of dental origin. For each condition, it lists preferred intravenous (IV) and oral antibiotic choices as well as IV and oral alternative options. It also notes criteria for when no antibiotics are needed after drainage of an abscess.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    9 views1 page

    Cellulitis and Abscess Antibiotic Table by Condition

    Uploaded by

    Aulia D. Zahara
    This document provides antibiotic recommendations for different skin and soft tissue infections including non-purulent cellulitis, purulent infections/abscesses, bite wounds, and facial cellulitis of dental origin. For each condition, it lists preferred intravenous (IV) and oral antibiotic choices as well as IV and oral alternative options. It also notes criteria for when no antibiotics are needed after drainage of an abscess.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Cellulitis and Abscess Antibiotic Table

    Condition
    Facial cellulitis of
    Non-purulent cellulitis Purulent SSTI/ abscess Bite wounds
    dental origin

    IV choice Cefazolin Clindamycin Ampicillin/sulbactam Penicillin OR Ampicillin/sulbactam

    Vancomycin if presumed
    clindamycin resistant MRSA;
    rapidly progressive lesion;
    Clindamycin if cephalosporin
    hemodynamic instability; ill-
    allergic
    appearing; failed oral Cefoxitin (transition to
    clindamycin as outpatient; clindamycin AND
    IV Alternatives Consider vancomycin if rapidly
    abscess in an area difficult to
    Clindamycin if penicillin allergic
    ciprofloxacin at discharge) if
    progressive lesion;
    drain completely such as penicillin allergic
    hemodynamic instability; ill-
    face/hand/genitals
    appearing
    Call ID if linezolid desired

    No antibiotics if low risk criteria*


    met and abscess adequately
    Penicillin OR
    PO choice Cephalexin drained Amoxicillin/clavulanate
    Amoxicillin/clavulanate
    Clindamycin otherwise

    TMP/SMX if presumed
    clindamycin resistant MRSA Doxycycline if age >8 years
    and penicillin allergy
    Doxycycline if age >8 years and
    Clindamycin if cephalosporin prior clindamycin and TMP/SMX Clindamycin AND
    PO Alternatives Clindamycin if penicillin allergic
    allergic resistant MRSA OR presumed ciprofloxacin for penicillin
    clindamycin resistance and sulfa allergic patients
    allergy
    Call ID for other scenarios
    Call ID if linezolid desired

    *Low risk criteria: Age ≥1 year; no fever; well-appearing; adequate I&D; no significant comorbidities

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