Acute Balanitis

First Line

Flucloxacillin PO for 7 days

Consider IV route if clinically unwell

Second line: mild intolerance or mild skin reaction

Cefalexin PO for 7 days

Consider IV route if clinically unwell

Anaphylaxis (including severe skin reaction) to penicillin / cephalosporins

Clarithromycin PO for 7 days

Notes

Most balanitis is not bacterial. Consider topical hydrocortisone 1% OD for 14 days and analgesia.

If suspected or confirmed fungal infection, prescribe imidazole cream for 14 days.

CKS - Balanitis