Sandbox skin2: Difference between revisions
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===Impetigo=== | ===Impetigo=== | ||
* Impetigo, | * Impetigo, adult | ||
:* Empiric antimicrobial therapy | :* Empiric antimicrobial therapy (covering methicillin-susceptible Staphylococcus aureus and β-hemolytic streptococci) | ||
::* Limited number of lesions | ::* '''Limited number of lesions''' | ||
:::* Preferred regimen: [[Mupirocin]] topically bid for 5 days {{or}} [[Retapamulin]] topically bid for 5 days | :::* Preferred regimen: [[Mupirocin]] topically bid for 5 days {{or}} [[Retapamulin]] topically bid for 5 days | ||
::* Numerous lesions or outbreaks of | |||
:::* Preferred regimen: [[Dicloxacillin]] PO for 7 days {{or}} [[Cephalexin]] PO for 7 days | ::* '''Numerous lesions or outbreaks of post streptococcal glomerulonephritis''' | ||
:::* Alternative regimen: [[Doxycycline]] PO for 7 days {{or}} [[Clindamycin]] PO for 7 days {{or}} [[Sulfamethoxazole-Trimethoprim]] PO for 7 days | :::* Preferred regimen: [[Dicloxacillin]] 250 mg PO qid for 7 days {{or}} [[Amoxicillin-Clavulanate]] 875/125 mg PO bid for 7 days {{or}} [[Cephalexin]] 250 mg PO qid for 7 days | ||
:::* Alternative regimen (for penicillin-allergic patients): [[Doxycycline]] 100 mg PO bid for 7 days {{or}} [[Clindamycin]] 300–400 mg PO qid for 7 days {{or}} [[Sulfamethoxazole-Trimethoprim]] 1–2 double-strength tablets PO bid for 7 days | |||
:* Culture-directed antimicrobial therapy | :* Culture-directed antimicrobial therapy | ||
::* Streptococcus alone | ::* '''Streptococcus alone''' | ||
:::* Preferred regimen: [[Penicillin]] | :::* Preferred regimen: [[Penicillin V]] 250–500 mg PO qid for 7 days | ||
:::* Alternative regimen: [[ | :::* Alternative regimen (for penicillin-allergic patients): [[Erythromycin]] 250 mg PO qid for 7 days {{or}} [[Clindamycin]] 300–400 mg PO qid for 7 days | ||
::* '''Methicillin-resistant Staphylococcus aureus''' | |||
:::* Preferred regimen: [[Doxycycline]] 100 mg PO bid for 7 days {{or}} [[Clindamycin]] 300–450 mg PO qid for 7 days {{or}} [[Sulfamethoxazole-Trimethoprim]] 1–2 double-strength tablets PO bid for 7 days | |||
* Impetigo, pediatric | |||
:* Empiric antimicrobial therapy (covering methicillin-susceptible Staphylococcus aureus and β-hemolytic streptococci) | |||
::* '''Limited number of lesions''' | |||
:::* Preferred regimen: [[Mupirocin]] topically bid for 5 days {{or}} [[Retapamulin]] topically bid for 5 days | |||
::* | ::* '''Numerous lesions or outbreaks of post streptococcal glomerulonephritis''' | ||
:::* Preferred regimen: [[ | :::* Preferred regimen: [[Amoxicillin-Clavulanate]] 25 mg/kg/day of amoxicillin component PO bid for 7 days {{or}} [[Cephalexin]] 25–50 mg/kg/day PO tid–qid for 7 days | ||
:::* Alternative regimen (for penicillin-allergic patients): [[Clindamycin]] 25–30 mg/kg/day PO tid for 7 days {{or}} [[Sulfamethoxazole-Trimethoprim]] 8–12 mg/kg/day PO bid for 7 days | |||
:* Culture-directed antimicrobial therapy | |||
::* '''Streptococcus alone''' | |||
:::* Preferred regimen: [[Penicillin V]] 60,000–100,000 U/kg PO qid for 7 days | |||
:::* Alternative regimen (for penicillin-allergic patients): [[Erythromycin]] 40 mg/kg/day PO tid–qid for 7 days {{or}} [[Clindamycin]] 20 mg/kg/day PO tid for 7 days | |||
* | ::* '''Methicillin-resistant Staphylococcus aureus''' | ||
:* | :::* Preferred regimen: [[Clindamycin]] 25–30 mg/kg/day PO tid for 7 days {{or}} [[Sulfamethoxazole-Trimethoprim]] 8–12 mg/kg/day PO bid for 7 days | ||
===Lyme disease, cutaneous=== | ===Lyme disease, cutaneous=== | ||
Latest revision as of 02:38, 30 May 2015
Acne vulgaris
Acne rosacea
Anthrax, cutaneous
Bacillary angiomatosis
Bite wounds
Carbuncle
Cat scratch disease
Cellulitis
Ecthyma
Erysipelas
Erysipeloid
Erythrasma
Furuncle
Gas gangrene
Glanders
Impetigo
- Impetigo, adult
- Empiric antimicrobial therapy (covering methicillin-susceptible Staphylococcus aureus and β-hemolytic streptococci)
- Limited number of lesions
- Preferred regimen: Mupirocin topically bid for 5 days OR Retapamulin topically bid for 5 days
- Numerous lesions or outbreaks of post streptococcal glomerulonephritis
- Preferred regimen: Dicloxacillin 250 mg PO qid for 7 days OR Amoxicillin-Clavulanate 875/125 mg PO bid for 7 days OR Cephalexin 250 mg PO qid for 7 days
- Alternative regimen (for penicillin-allergic patients): Doxycycline 100 mg PO bid for 7 days OR Clindamycin 300–400 mg PO qid for 7 days OR Sulfamethoxazole-Trimethoprim 1–2 double-strength tablets PO bid for 7 days
- Culture-directed antimicrobial therapy
- Streptococcus alone
- Preferred regimen: Penicillin V 250–500 mg PO qid for 7 days
- Alternative regimen (for penicillin-allergic patients): Erythromycin 250 mg PO qid for 7 days OR Clindamycin 300–400 mg PO qid for 7 days
- Methicillin-resistant Staphylococcus aureus
- Preferred regimen: Doxycycline 100 mg PO bid for 7 days OR Clindamycin 300–450 mg PO qid for 7 days OR Sulfamethoxazole-Trimethoprim 1–2 double-strength tablets PO bid for 7 days
- Impetigo, pediatric
- Empiric antimicrobial therapy (covering methicillin-susceptible Staphylococcus aureus and β-hemolytic streptococci)
- Limited number of lesions
- Preferred regimen: Mupirocin topically bid for 5 days OR Retapamulin topically bid for 5 days
- Numerous lesions or outbreaks of post streptococcal glomerulonephritis
- Preferred regimen: Amoxicillin-Clavulanate 25 mg/kg/day of amoxicillin component PO bid for 7 days OR Cephalexin 25–50 mg/kg/day PO tid–qid for 7 days
- Alternative regimen (for penicillin-allergic patients): Clindamycin 25–30 mg/kg/day PO tid for 7 days OR Sulfamethoxazole-Trimethoprim 8–12 mg/kg/day PO bid for 7 days
- Culture-directed antimicrobial therapy
- Streptococcus alone
- Preferred regimen: Penicillin V 60,000–100,000 U/kg PO qid for 7 days
- Alternative regimen (for penicillin-allergic patients): Erythromycin 40 mg/kg/day PO tid–qid for 7 days OR Clindamycin 20 mg/kg/day PO tid for 7 days
- Methicillin-resistant Staphylococcus aureus
- Preferred regimen: Clindamycin 25–30 mg/kg/day PO tid for 7 days OR Sulfamethoxazole-Trimethoprim 8–12 mg/kg/day PO bid for 7 days