Sandbox skin2

Impetigo

• Impetigo, adult

• Empiric antimicrobial therapy

• Limited number of lesions

• Preferred regimen: Mupirocin topically bid for 5 days OR Retapamulin topically bid for 5 days

• Numerous lesions or outbreaks of post streptococcal glomerulonephritis

• Preferred regimen: Dicloxacillin 250 mg PO qid for 7 days OR Amoxicillin-Clavulanate 875/125 mg PO bid for 7 days OR Cephalexin 250 mg PO qid for 7 days
• Alternative regimen (for penicillin-allergic patients): Doxycycline PO for 7 days OR Clindamycin PO for 7 days OR Sulfamethoxazole-Trimethoprim PO for 7 days

• Culture-directed antimicrobial therapy

• Streptococcus alone

• Preferred regimen: Penicillin
• Alternative regimen: Erythromycin OR Clindamycin

• Methicillin-resistant Staphylococcus aureus

• Preferred regimen: Doxycycline 250 mg PO qid OR Clindamycin OR Sulfamethoxazole-Trimethoprim

• Ecthyma

• Empiric therapy Oral 7 days (MSSA)