Boil medical therapy
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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