Cellulitis secondary prevention
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Support stockings for reducing peripheral edema, antifungal agents for eradicating dermatophytes, and prophylactic penicillin G or erythromycin can be used to minimize the risk for recurrences.
Secondary Prevention
Compressive stockings can be used to reduce peripheral edema, which is a predisposing factor for recurrence. Patients should also receive therapy for dermatophytic infection such as tinea pedis, stasis dermatitis, or trauma.[1] In patients with recurrent cellulitis despite these measures, penicillin G (250–500 mg PO bid) or erythromycin (250 mg PO qd or bid) may be effective in preventing subsequent attacks during prophylaxis.[2]
References
- ↑ Stevens, DL.; Bisno, AL.; Chambers, HF.; Everett, ED.; Dellinger, P.; Goldstein, EJ.; Gorbach, SL.; Hirschmann, JV.; Kaplan, EL. (2005). "Practice guidelines for the diagnosis and management of skin and soft-tissue infections". Clin Infect Dis. 41 (10): 1373–406. doi:10.1086/497143. PMID 16231249. Unknown parameter
|month=ignored (help) - ↑ Thomas, KS.; Crook, AM.; Nunn, AJ.; Foster, KA.; Mason, JM.; Chalmers, JR.; Nasr, IS.; Brindle, RJ.; English, J. (2013). "Penicillin to prevent recurrent leg cellulitis". N Engl J Med. 368 (18): 1695–703. doi:10.1056/NEJMoa1206300. PMID 23635049. Unknown parameter
|month=ignored (help)