Cellulitis

Cellulitis

CKS

Class I: patient afebrile and healthy other than cellulitis, use oral flucloxacillin alone.

Class II febrile & ill, or comorbidity, admit for intravenous treatment, or use OPAT (if available).

Class III toxic appearance: admit.  If river or sea water exposure, discuss with specialist

Flucloxacillin

500mg QDS

All:

for 7 days. If slow response continue for a further 7 days

If penicillin allergic:

clarithromycin

500mg BD

 

If on statins: doxycycline

200mg stat then 100mg OD

 

If unresolving: clindamycin

300–450mg QDS

If facial: co-amoxiclav

500/125mg TDS