Recommended total duration: 7 days
Treat as mild infection if NEWS <5, only a small area of surrounding skin or soft tissue infection, no pus draining from the wound and no concern with regard to deep infection.
Recommended antimicrobial |
Co-amoxiclav 625mg every 8 hours orally |
Penicillin allergy OR previous MRSA
OR
Frail elderly
|
Co-trimoxazole 960mg every 12 hours orally
AND
Metronidazole 400mg every 8 hours orally.
|
MRSA is not always sensitive to Co-trimoxazole. If not improving after 24-48 hours discuss with infection specialist.
Moderate to severe infection
Recommended antimicrobial |
Flucloxacillin 2g every 6 hours IV
AND
Gentamicin IV (use NHS Lothian Calculator located AMT intranet page)
AND
Metronidazole 400mg every 8 hours orally (IV if oral route not available)
|
Penicillin allergy OR previous MRSA |
Vancomycin IV (use NHS Lothian Calculator located AMT intranet page)
AND
Gentamicin IV (use NHS Lothian Calculator located AMT intranet page)
AND
Metronidazole 400mg every 8 hours orally (IV if oral route not available)
|