Fournier’s Gangrene

First Line

Therapy

Piperacillin-Tazobactam (Tazocin) 4.5g IV 6 hourly AND Gentamicin IV as per protocol AND Metronidazole 500mg IV 8 hourly

Penicillin Allergy

Therapy

Vancomycin IV as per protocol AND Gentamicin IV as per protocol AND Ciprofloxacin 400mg IV 8 hourly AND Metronidazole 500mg IV 8 hourly

Notes

If evidence of toxic shock - ADD Clindamycin 1.2g IV 6 hourly and consider IVIG