CAUSATIVE ORGANISMS
  • Staph. aureus and/or b-hemolytic Streptococcus

RECOMMENDED TREATMENT
  • Gram stain and culture pus or exudates recommended
  • Bullous or nonbollous
    • ​TREAT WITH ORAL OR TOPICAL ANTIBIOTICS
    • Oral therapy recommended for patients with numerous lesions or outbreaks affecting multiple people
    • Ecthyma treatment: always use oral antibiotics to treat
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TOPICAL ANTIBIOTICS
  • Topical Retapamulin ointment BID x 5 days
  • Topical mupirocin ointment BID x 5 days or​

ORAL ANTIBIOTICS
  • Cephalexin 500 mg PO QID x 7 days
  • Amoxicillin/clavulanate 875/125 mg PO q12h x 7 days
  • Clindamycin 300mg PO QID x 7 days
  • Dicloxacillin 500 mg PO QID x 7 days
  • If MRSA suspected/confirmed, use one of the following instead:
    • Sulfamethoxazole/Trimethoprim 800/160 mg 1-2 tablets PO BID x 7 days
    • Doxycycline 100 mg PO BID x 7 days
    • Clindamycin 300 mg PO QID x 7 days
    • Linezolid 600 mg PO BID x 7 days (last line as some insurance companies will not cover it)