Oral Exam: SSTIs

Question 1

Cellulitis common pathogens

Answer 1

Beta-hemolytic strep

Staph (MSSA)

Question 2

Empiric Treatment of mild cellulitis

Answer 2

Oral ABX for 5 days:

Dicloxacillin, Clindamycin, Augmentin, Cephalexin

Question 3

Empiric Treatment of moderate cellulitis

Answer 3

IV ABX -> Oral ABX: 5 days total:

IV:
Ceftriaxone, Cefazolin, Clindamycin

Oral:
Amox + SMXTMP/Doxy/Minocycline
OR
Clinda

Question 4

Empiric Treatment of severe cellulitis

Answer 4

Emergency debridement (collect sample)

IV ABX -> Oral ABX: 10-14 days total:

IV:
Vanco and Pip/Tazo

Oral:
FQ + metroniazole/clindamycin
OR
Augmentin

Must use C + S once available

Question 5

Abscess common pathogen

Answer 5

MRSA

Question 6

Mild abscess treatment

Answer 6

Incision and drainage

Question 7

Moderate abscess treatment

Answer 7

Incision and drainage (collect C+S)
AND
Empiric ABX regimen:
- SMXTMP
- Doxycycline
- Clindamycin
- Vanco or Dapto if inpatient

MRSA confirmed:
- SMXTMP

Question 8

Severe abscess treatment

Answer 8

Incision and drainage (collect C+S)
AND
Empiric ABX regimen:
- Vanco
- Dapto
- Linezolid

MRSA confirmed:
- Same