Boil medical therapy: Difference between revisions
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==Overview== | ==Overview== | ||
The mainstay of therapy for mild furuncles is incision and drainage only. Antimicrobial therapies are indicated in moderate and severe furuncles. Empiric antimicrobial therapies for furuncle include either [[TMP-SMX]] or [[Doxycycline]] for moderate furuncles, and either [[Vancomycin]], [[Daptomycin]], [[Linezolid]], [[Telavancin]], or [[Ceftaroline]] for severe furuncles. | The mainstay of therapy for mild furuncles is [[incision and drainage]] only. [[Antimicrobial]] therapies are indicated in moderate and severe furuncles. Empiric [[antimicrobial]] therapies for furuncle include either [[TMP-SMX]] or [[Doxycycline]] for moderate furuncles, and either [[Vancomycin]], [[Daptomycin]], [[Linezolid]], [[Telavancin]], or [[Ceftaroline]] for severe furuncles. | ||
==Medical Therapy== | ==Medical Therapy== | ||
===Boil(furuncle)=== | ===Boil (furuncle)=== | ||
*Spontaneous healing: | *Spontaneous healing: | ||
:*After a period of itching and mild pain, the boils(furuncles) may heal spontaneously. | :*After a period of itching and mild pain, the boils (furuncles) may heal spontaneously. | ||
*Medical therapy<ref>{{cite book | last = Gilbert | first = David | title = The Sanford guide to antimicrobial therapy | publisher = Antimicrobial Therapy | location = Sperryville, Va | year = 2015 | isbn = 978-1930808843 }}</ref><ref>Boils(furuncle).MedlinePlus(2016).https://medlineplus.gov/ency/article/001474.htm Accesses on August 11,2016</ref> | *Medical therapy<ref>{{cite book | last = Gilbert | first = David | title = The Sanford guide to antimicrobial therapy | publisher = Antimicrobial Therapy | location = Sperryville, Va | year = 2015 | isbn = 978-1930808843 }}</ref><ref>Boils(furuncle).MedlinePlus(2016).https://medlineplus.gov/ency/article/001474.htm Accesses on August 11,2016</ref> | ||
:* '''Mild''' | :* '''Mild''' | ||
::* Preferred regimen: | ::* Preferred regimen: [[incision and drainage]] | ||
:* '''Moderate''' | :* '''Moderate''' | ||
::* Empiric treatment :[[TMP-SMX]] {{or}} [[Doxycycline]] | ::* Empiric treatment :[[TMP-SMX]] {{or}} [[Doxycycline]] | ||
| Line 23: | Line 23: | ||
:::* MSSA (methicilin susceptible staphylococcus aureus): [[Nafcillin]] {{or}} [[Cefazolin]] {{or}} [[Clindamycin]] | :::* MSSA (methicilin susceptible staphylococcus aureus): [[Nafcillin]] {{or}} [[Cefazolin]] {{or}} [[Clindamycin]] | ||
:::* MRSA (methicilin resistant staphylococcus aureus): [[Vancomycin]] {{or}} [[Daptomycin]] {{or}} [[Linezolid]] {{or}} [[Televancin]] {{or}} [[Ceftaroline]] | :::* MRSA (methicilin resistant staphylococcus aureus): [[Vancomycin]] {{or}} [[Daptomycin]] {{or}} [[Linezolid]] {{or}} [[Televancin]] {{or}} [[Ceftaroline]] | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
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[[Category:Dermatology]] | [[Category:Dermatology]] | ||
[[Category:Emergency medicine]] | |||
[[Category:Infectious disease]] | [[Category:Infectious disease]] | ||
Latest revision as of 20:39, 29 July 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Yamuna Kondapally, M.B.B.S[2]
Overview
The mainstay of therapy for mild furuncles is incision and drainage only. Antimicrobial therapies are indicated in moderate and severe furuncles. Empiric antimicrobial therapies for furuncle include either TMP-SMX or Doxycycline for moderate furuncles, and either Vancomycin, Daptomycin, Linezolid, Telavancin, or Ceftaroline for severe furuncles.
Medical Therapy
Boil (furuncle)
- Spontaneous healing:
- After a period of itching and mild pain, the boils (furuncles) may heal spontaneously.
- Mild
- Preferred regimen: incision and drainage
- Moderate
- Empiric treatment :TMP-SMX OR Doxycycline
- Culture directed treatment
- MSSA (methicilin susceptible staphylococcus aureus): TMP-SMX
- MRSA (methicilin resistant staphylococcus aureus): Dicloxacillin OR Cephalexin
- Severe
- Empiric treatment :Vancomycin OR Daptomycin OR Linezolid OR Televancin OR Ceftaroline
- Culture directed treatment
- MSSA (methicilin susceptible staphylococcus aureus): Nafcillin OR Cefazolin OR Clindamycin
- MRSA (methicilin resistant staphylococcus aureus): Vancomycin OR Daptomycin OR Linezolid OR Televancin OR Ceftaroline
References
- ↑ Gilbert, David (2015). The Sanford guide to antimicrobial therapy. Sperryville, Va: Antimicrobial Therapy. ISBN 978-1930808843.
- ↑ Boils(furuncle).MedlinePlus(2016).https://medlineplus.gov/ency/article/001474.htm Accesses on August 11,2016