Boil medical therapy: Difference between revisions
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==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]], [[Televancin]], or [[Ceftaroline]]. | |||
==Medical Therapy== | ==Medical Therapy== | ||
===Furuncle=== | ===Furuncle=== | ||
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::* '''Culture directed treatment''' | ::* '''Culture directed treatment''' | ||
:::* MSSA (methicilin susceptible staphylococcus aureus): [[TMP-SMX]] | :::* MSSA (methicilin susceptible staphylococcus aureus): [[TMP-SMX]] | ||
:::* MRSA (methicilin resistant staphylococcus aureus): [[ | :::* MRSA (methicilin resistant staphylococcus aureus): [[Dicloxacillin]] {{or}} [[Cephalexin]] | ||
:* '''Severe''' | :* '''Severe''' | ||
::* Empiric treatment :[[Vancomycin]] {{or}} [[ | ::* Empiric treatment :[[Vancomycin]] {{or}} [[Daptomycin]] {{or}} [[Linezolid]] {{or}} [[Televancin]] {{or}} [[Ceftaroline]] | ||
::* Culture directed treatment | ::* Culture directed treatment | ||
:::* MSSA (methicilin susceptible staphylococcus aureus): [[Nafcillin]] {{or}} [[ | :::* MSSA (methicilin susceptible staphylococcus aureus): [[Nafcillin]] {{or}} [[Cefazolin]] {{or}} [[Clindamycin]] | ||
:::* MRSA (methicilin resistant staphylococcus aureus): [[Vancomycin]] {{or}} [[ | :::* MRSA (methicilin resistant staphylococcus aureus): [[Vancomycin]] {{or}} [[Daptomycin]] {{or}} [[Linezolid]] {{or}} [[Televancin]] {{or}} [[Ceftaroline]] | ||
==References== | |||
{{Reflist|2}} | |||
[[Category: Infectious Disease Project]] | [[Category: Infectious Disease Project]] | ||
Revision as of 13:40, 12 August 2015
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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, Televancin, or Ceftaroline.
Medical Therapy
Furuncle
- Furuncle[1]
- 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.