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Clinical Condition
Meningitis
Respiratory
Endocarditis
Intra-abdominal
Urinary Tract Infection
Skin and Soft tissue
Skeletal (Bone & Joints)
Bacteremia and Undifferentiated
Microbiology
Gram positive cocci
Gram negative bacilli
Antibiotics
Penicillin
Ampicillin
Oxacillin
Cefazolin
Cefuroxime
Ceftriaxone
Ceftazidime
Imipenem
Meropenem
Piperacillin-Tazobactam
Ticarcillin-Clavulanic acid
Trimethroprim/Sulfamethoxazole
Ciprofloxacin
Levofloxacin
Gentamicin
High Level Gentamicin
High Level Streptomycin
Tobramycin
Tetracycline
Erythromycin
Clindamycin
Nitrofurantoin
Location
Cellulitis
Cellulitis
Bottom Line
Empiric coverage for MRSA is not required given the low rates of MRSA in the community and at KGH.
Intravenous therapy is required for systemic infection or rapidly progressing erythema.
The presence of “bilateral” cellulitis suggests an etiology
other
than infection.
Empiric Therapy
Oral therapy that covers most common pathogens (
S. aureus
and Group A Streptococcus) –
Cephalexin
Intravenous therapy -
Cefazolin
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