SSTI

Question 1

Impetigo (superficial)

Answer 1

Cover staph/strep A
Topical Mupirocin BD x 7d

Question 2

Impetigo & Ecthyma

Answer 2

Cover Strep A
PO cloxacillin, cephalexin, clindamycin

Question 3

Non-purulent SSTI (cellulitis, erysipelas)

Answer 3

Cover Group A strep + pseudomonas if water exposure
Mild: PO cloxacillin, cephalexin, clindamycin
Moderate: IV cefazolin, clindamycin
Severe: IV pip-tazo, cefepime, meropenem,

Question 4

Purulent SSTI (abscess, purulent cellulitis, furuncle, carbuncle)

Answer 4

Mild: I&D
Moderate: I&D + PO cloxacillin, cephalexin, clindamycin
Severe: IV cefazolin, clindamycin, vancomycin

Question 5

DFI & Ulcer

Answer 5

Mild: erythema <2cm + no systemic signs: PO cloxacillin, cefalexin, clindamycin
Moderate: erythema ≥ 2cm + no systemic signs: IV augmentin, cefazolin or ceftriaxone + metronidazole
Severe: erythema ≥2cm + systemic signs: pip-tazo, cefepime + metronidazole, meropenem, ciprofloxacin + clindamycin