Skin/Soft Tissue

Question 1

What is the treatment for limited soft tissue infection

Answer 1

Oral flucloxacillin 1g 6 hourly

Question 2

What is the treatment for limited soft tissue infection if the patient has a penicillin allergy

Answer 2

Oral clarithromycin 500mg 12 hourly

Question 3

How long should antibiotics be prescribed for in limited soft tissue infection

Answer 3

7-14 days

Question 4

What is the treatment for an infected human bite

Answer 4

Oral co-amoxiclav 625mg 8 hourly

Question 5

What is the 2nd line treatment/penicillin allergy option for an infected human bite

Answer 5

Oral doxycycline 100mg 12 hourly

+ Metronidazole 400mg 8 hourly

Question 6

What is the treatment for moderate-severe cellulitis

Answer 6

Flucloxacillin 1-2g 6 hourly IV

Oral 1g 6 hourly

Question 7

What is the treatment for moderate-severe cellulitis in patients with penicillin allergy/MRSA

Answer 7

Vancomycin

Switch to oral doxycycline

Question 8

How long should treatment for moderate-severe cellulitis last

Answer 8

7-14 days

Question 9

What is the first line treatment of suspected necrotising fasciitis

Answer 9

Flucloxacillin 2g 6 hourly IV
+Benzypenicillin 2.4g 6 hourly IV
+Gentamicin IV
+Clindamycin 600mg-1.2g 6 hourly IV

Question 10

What is the oral treatment for suspected necrotising fasciitis

Answer 10

Flucloxacillin 500mg-1g 6 hourly
+Amoxicillin 500mg-1g 8 hourly
Clindamycin 600mg 8 hourly

Question 11

What is the oral treatment for suspected necrotising fasciitis if the patient has a penicillin allergy

Answer 11

Vancomycin IV
+Clindamycin 600-1.2g IV 6-8 hourly
+Gentamicin