Post-operative wound infection - dirty sites

Micro-organism

Staph.aureus

First Line

Co-amoxiclav IV for 7 days

If MRSA confirmed or suspected - Add vancomycin IV

 

Second line: mild intolerance or mild skin reaction

Ceftriaxone IV + metronidazole IV (+/- gentamicin IV if not improving ) for 7 days

If MRSA confirmed or suspected - Add vancomycin IV

Discuss with microbiology oral options

Anaphylaxis (including severe skin reaction) to penicillin / cephalosporins

Vancomycin IV + gentamicin IV + metronidazole IV for 7 days

Notes

If collection present - this will require drainage.

Base treatment on sensitivities where available.

Route of infection is dependant on the severity of infection and the ability of the patient to take medication by the oral route