SSTI Flashcards
impetigo pathogen
staphylococci, streptococci
ecthyma / nonpurulent org
grp A strep
purulent org
s. aureus
impetigo mild tx
TOP mupirocin BID 5d
impetigo ecthyma empiric
PO cephalexin / cloxacillin / clindamycin
impetigo, ecthyma (s.pyogenes) tx
PO penicillin V, amoxicillin
impetigo ecthyma (MSSA) tx
PO cephalexin, cloxacillin
impetigo / ecthyma tx duration
7d
moderate purulent tx (include i&d)
PO clox / ceph/clindamycin
empiric purulent mrsa
cotri
doxt
clinda
vanco
line
empiric purulent gram neg
amox clav
purulent / non purulent tx durx
5-10d
nonpurulent mild tx
pen v, ceph, clox, clin
non purulent moderate tx
IV cefazolin, clind
non purulent severe tx
piptazo, cefepime, mero
dfi organisms
polymicrobial - augmentin first line
staphylococcus aureus streptococcus spp.
gram-neg: e coli, klebsiella
mild DFI sx
erythema <2cm around ulcer, no systemic
moderate DFI sx
deeper tissue infx/ erythema >2cm, no systemic
severe DFI sx
deeper tissue infx/ erythema >2cm + systemic infection signs
mild DFI tx
PO cephalexin cloxacillin clindamycin
moderate DFI tx
IV augmentin, cefazolin/ceftriaxone + metronidazole
severe DFI tx
IV piptazo, cefepime + metro, mero, cipro+clindamycin
amox
po 500mg-1gq8h
clox
500mg-1g q6h
clindamycin
PO 300-450mg q6h
cephalexin
PO 500mg qid
cefazolin
IV 1-2g q8h
cefepime
IV 2g q8
cotri
PO 960mg bd /
IV 5mg/kg q8h
Pen V PO
500mg q6
Pen G IV
2-4MU q6h
piptazo
IV 4.5g q6-8h
metronidazole
PO 400 mg tds
IV 500 mg tds
Vancomycin
15 mg/kg q8 -12h
how long needed to treat osteomyelitis
4-6 weeks