, Consider antibiotics if fever, systemic symptoms, or failed initial treatment
Mupirocin (Bactroban) or retapamulin (Altabax) BID for 5 days
dicloxacillin, cephalexin MRSA: doxycycline, clindamycin, or TMP-SMX - ✔✔Treatment:
Cellulitis without purulence (MSSA)?
Cellulitis with purulence (MRSA) I&D?
Carbuncle (deeper furuncle [boil]) I&D FIRST!
Impetigo (superficial)?
Ecthyma (deep, ulcerative form) (MSSA [most common], MRSA, Strep) (If known or suspected MRSA,
treatment) MSSA:
Staphylococcus aureus, and strep - ✔✔Most common skin bacteria?
: Rx with amoxicillin-clavulanate - ✔✔if bitten by Pasteurella (cat) give ?
• Clean and flush bite thoroughly
• Antibiotic prophylaxis (for 3-5 days) in high-risk patients*
• Tetanus prophylaxis within 10 years
• For hands: examine in anatomic, clenched and extended positions - ✔✔Management of bites from
cat, dog, human?
NSAIDs:
Narcotics:
-Antiviral agents (high dose): acyclovir, famciclovir, valacyclovir for 7 days
-Antiviral agents: - ✔✔Pharmacologic Management • For pain:
-mild to moderate pain
-for severe pain
• ≤72 hours of symptoms and only given when greater than ≥72 hours if new lesions are appearing
• all immunocompromised patients
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