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Clindamycin IV, Oral

Permitted Indications

May be used for the following indications:

  1. Oral switch in osteomyelitis in patients allergic to penicillin.
  2. Diabetic foot infection as per the Scottish Diabetes Foot Action Group guideline (endorsed by SAPG).
  3. Necrotising fasciitis or severe or rapidly progressing skin infection in an intravenous drug user.
  4. Surgical prophylaxis where specified in the departmental guideline.
  5. Second-line oral/IV option for patients with lymphoedema unresponsive to first-line therapy or penicillin allergic.
  6. Second-line for appendicitis, peritonitis, penetrating abdominal trauma, pilonidal abscess, perianal abscess, acute osteomyelitis, septic arthritis, acute discitis, deep myositis, orbital cellulitis, pre-septal cellulitis, quinsy, cellulitis, post-operative wound infections for children and infants with penicillin allergy.
  7. Toxic shock syndrome in children and infants.


Only on the advice of a Medical Microbiologist, Infection Specialist or Maxillofacial Surgeon for:

  1. Patients with deep dental/facial/neck abscesses who are penicillin allergic or unresponsive to first-line therapy.

Treatment may be initiated in primary care.


For all other indications, contact the duty Medical Microbiologist.