Erysipelas medical therapy: Difference between revisions
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Depending on the severity, treatment involves either oral or intravenous antibiotics, using either [[penicillin]]s, [[clindamycin]] or [[erythromycin]]. While illness symptoms resolve in a day or two, the skin may take weeks to return to normal. | Depending on the severity, treatment involves either oral or intravenous antibiotics, using either [[penicillin]]s, [[clindamycin]] or [[erythromycin]]. While illness symptoms resolve in a day or two, the skin may take weeks to return to normal. | ||
==Treatment== | |||
===Antimicrobial Regimen=== | |||
* Erysipelas<ref name="pmid24947530">{{cite journal| author=Stevens DL, Bisno AL, Chambers HF, Dellinger EP, Goldstein EJ, Gorbach SL et al.| title=Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the infectious diseases society of America. | journal=Clin Infect Dis | year= 2014 | volume= 59 | issue= 2 | pages= 147-59 | pmid=24947530 | doi=10.1093/cid/ciu296 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24947530 }} </ref> | |||
:* 1. '''Adults''' | |||
::* Preferred regimen (1): [[Penicillin]] 500 mg PO qid | |||
::* Preferred regimen (2): [[Amoxicillin]] 500 mg PO qid | |||
::* Preferred regimen (3): [[Erythromycin]] 250 mg PO qid | |||
::* Preferred regimen (4): [[Ceftriaxone]] 1 g IV q24h | |||
::* Preferred regimen (5): [[Cefazolin]] 1 to 2 g IV q8h | |||
:* 2. '''Pediatrics''' | |||
::* Preferred regimen (1): [[Penicillin]] 25 to 50 mg/kg/day PO tid or qid | |||
::* Preferred regimen (2): [[Amoxicillin]] 25 to 50 mg/kg/day PO tid | |||
::* Preferred regimen (3): [[Erythromycin]] 30 to 50 mg/kg/day PO bid to qid | |||
::* Preferred regimen (4): [[Ceftriaxone]] 50 to 75 mg/kg/day IV q12-24h | |||
::* Preferred regimen (5): [[Cefazolin]] 100 mg/kg/day IV q8h | |||
==References== | ==References== | ||
Revision as of 13:00, 12 August 2015
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Depending on the severity, treatment involves either oral or intravenous antibiotics, using either penicillins, clindamycin or erythromycin. While illness symptoms resolve in a day or two, the skin may take weeks to return to normal.
Treatment
Antimicrobial Regimen
- Erysipelas[1]
- 1. Adults
- Preferred regimen (1): Penicillin 500 mg PO qid
- Preferred regimen (2): Amoxicillin 500 mg PO qid
- Preferred regimen (3): Erythromycin 250 mg PO qid
- Preferred regimen (4): Ceftriaxone 1 g IV q24h
- Preferred regimen (5): Cefazolin 1 to 2 g IV q8h
- 2. Pediatrics
- Preferred regimen (1): Penicillin 25 to 50 mg/kg/day PO tid or qid
- Preferred regimen (2): Amoxicillin 25 to 50 mg/kg/day PO tid
- Preferred regimen (3): Erythromycin 30 to 50 mg/kg/day PO bid to qid
- Preferred regimen (4): Ceftriaxone 50 to 75 mg/kg/day IV q12-24h
- Preferred regimen (5): Cefazolin 100 mg/kg/day IV q8h
References
- ↑ Stevens DL, Bisno AL, Chambers HF, Dellinger EP, Goldstein EJ, Gorbach SL; et al. (2014). "Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the infectious diseases society of America". Clin Infect Dis. 59 (2): 147–59. doi:10.1093/cid/ciu296. PMID 24947530.