infection: cellullitis Flashcards
signs of cellulitis
redness, swelling, warmth, pain/tenderness, complaint spider bite
tx cellulitis?
drain lesion
send wound drainage for culture
wound care and hygiene
signs of cellulitis w/ abscess
lesion is purulent:
fluctuance, palpable fluid filled cavity, movable, compressible
yellow or white center
draining pus
possible to aspirate pus w/needle and syringe
how to treat cellulitis w/o abscess?
streptococcus coverage, dicloxacin, amoxicillin, cephalexin
allergy to PCN - clindamycin and macrolides (clarithromycin and azithromycin)
tx MRSA cellulitis?
first line - clindamycin
others: tetracycline (doxycycline minocycline), TMP - SMX, rifampin, linezolid
what can’t you give during pregnancy for MRSA cellultis?
tetracyclines, TMP-SMX (3rd trimester)
what is MRSA resistant to?
beta lactam agents - PCN and cephalosporins
flouroquinolones (cipro or levofloxacin)
macrolides