Boil medical therapy

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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, Telavancin, or Ceftaroline for severe furuncles.

Medical Therapy

Furuncle

• Furuncle

• 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