Template:Cellulitis antibiotics: Difference between revisions
(Convert to AntibioticDose with disease=Cellulitis) |
(Add pediatric outpatient and inpatient dosing sections) |
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''Tailor antibiotics by regional antibiogram'' | ''Tailor antibiotics by regional antibiogram'' | ||
====Outpatient==== | ====Outpatient==== | ||
*5 day treatment duration | *5 day treatment duration | ||
**{{AntibioticDose|disease=Cellulitis|drug=Cephalexin|dose=500mg PO q6hrs|context=Outpatient}} '''OR''' | **{{AntibioticDose|disease=Cellulitis|drug=Cephalexin|dose=500mg PO q6hrs|context=Outpatient}} '''OR''' | ||
***Add {{AntibioticDose|disease=Cellulitis|drug=Trimethoprim-Sulfamethoxazole DS|display=TMP/SMX|dose=DS 1 tab PO BID|context=Outpatient, MRSA|link=no}} if MRSA suspected | ***Add {{AntibioticDose|disease=Cellulitis|drug=Trimethoprim-Sulfamethoxazole DS|display=TMP/SMX|dose=DS 1 tab PO BID|context=Outpatient, MRSA|link=no}} if MRSA suspected | ||
**{{AntibioticDose|disease=Cellulitis|drug=Clindamycin|dose=450mg PO TID|context=Outpatient}} covers Strep and Staph | **{{AntibioticDose|disease=Cellulitis|drug=Clindamycin|dose=450mg PO TID|context=Outpatient}} covers Strep and Staph | ||
====Pediatric Outpatient==== | |||
*{{AntibioticDose|disease=Cellulitis|drug=Cephalexin|dose=25-50mg/kg/day PO divided q6-8h (max 500mg/dose)|context=Pediatric Outpatient|population=Pediatric}} '''OR''' | |||
**Add {{AntibioticDose|disease=Cellulitis|drug=Trimethoprim-Sulfamethoxazole DS|display=TMP/SMX|dose=8-12mg/kg/day (TMP) PO divided BID|context=Pediatric Outpatient, MRSA|population=Pediatric|link=no}} if MRSA suspected | |||
*{{AntibioticDose|disease=Cellulitis|drug=Clindamycin|dose=30-40mg/kg/day PO divided TID (max 1.8g/day)|context=Pediatric Outpatient|population=Pediatric}} | |||
====Inpatient==== | ====Inpatient==== | ||
*{{AntibioticDose|disease=Cellulitis|drug=Vancomycin|dose=20mg/kg IV q12hrs|context=Inpatient}} '''OR''' | *{{AntibioticDose|disease=Cellulitis|drug=Vancomycin|dose=20mg/kg IV q12hrs|context=Inpatient}} '''OR''' | ||
*{{AntibioticDose|disease=Cellulitis|drug=Clindamycin|dose=600mg IV q8hrs|context=Inpatient}} '''OR''' | *{{AntibioticDose|disease=Cellulitis|drug=Clindamycin|dose=600mg IV q8hrs|context=Inpatient}} '''OR''' | ||
*{{AntibioticDose|disease=Cellulitis|drug=Linezolid|dose=600mg IV q12hrs|context=Inpatient}} '''OR''' | *{{AntibioticDose|disease=Cellulitis|drug=Linezolid|dose=600mg IV q12hrs|context=Inpatient}} '''OR''' | ||
*{{AntibioticDose|disease=Cellulitis|drug=Daptomycin|dose=4mg/kg IV once daily|context=Inpatient}} | *{{AntibioticDose|disease=Cellulitis|drug=Daptomycin|dose=4mg/kg IV once daily|context=Inpatient}} | ||
====Pediatric Inpatient==== | |||
*{{AntibioticDose|disease=Cellulitis|drug=Vancomycin|dose=15mg/kg IV q6hrs|context=Pediatric Inpatient|population=Pediatric}} '''OR''' | |||
*{{AntibioticDose|disease=Cellulitis|drug=Clindamycin|dose=10-13mg/kg IV q8hrs (max 900mg/dose)|context=Pediatric Inpatient|population=Pediatric}} '''OR''' | |||
*{{AntibioticDose|disease=Cellulitis|drug=Linezolid|dose=<12yr: 10mg/kg IV q8hrs; >12yr: 600mg IV q12hrs|context=Pediatric Inpatient|population=Pediatric}} | |||
====Saltwater related cellulitis==== | ====Saltwater related cellulitis==== | ||
*{{AntibioticDose|disease=Cellulitis|drug=Doxycycline|dose=100mg PO/IV q12hrs daily|context=Saltwater}} + [[Cefepime]] 1g IV q12hrs x 10 days | *{{AntibioticDose|disease=Cellulitis|drug=Doxycycline|dose=100mg PO/IV q12hrs daily|context=Saltwater}} + [[Cefepime]] 1g IV q12hrs x 10 days | ||
*{{AntibioticDose|disease=Cellulitis|drug=Ciprofloxacin|dose=400mg IV q12hrs x 10 days|context=Saltwater}} | *{{AntibioticDose|disease=Cellulitis|drug=Ciprofloxacin|dose=400mg IV q12hrs x 10 days|context=Saltwater}} | ||
====Freshwater related cellulitis==== | ====Freshwater related cellulitis==== | ||
*{{AntibioticDose|disease=Cellulitis|drug=Ciprofloxacin|dose=500mg PO q12hrs x 10 days|context=Freshwater}} | *{{AntibioticDose|disease=Cellulitis|drug=Ciprofloxacin|dose=500mg PO q12hrs x 10 days|context=Freshwater}} | ||
*{{AntibioticDose|disease=Cellulitis|drug=Trimethoprim-Sulfamethoxazole DS|display=TMP/SMX|dose=2 DS tablets PO q12hrs x 10 days|context=Freshwater}} | *{{AntibioticDose|disease=Cellulitis|drug=Trimethoprim-Sulfamethoxazole DS|display=TMP/SMX|dose=2 DS tablets PO q12hrs x 10 days|context=Freshwater}} | ||
*{{AntibioticDose|disease=Cellulitis|drug=Ceftriaxone|dose=1g (50mg/kg) IV q24hrs|context=Freshwater}} | *{{AntibioticDose|disease=Cellulitis|drug=Ceftriaxone|dose=1g (50mg/kg) IV q24hrs|context=Freshwater}} | ||
Latest revision as of 12:51, 20 March 2026
Tailor antibiotics by regional antibiogram
Outpatient
- 5 day treatment duration
- Cephalexin 500mg PO q6hrs OR
- Add DS 1 tab PO BID if MRSA suspected
- Clindamycin 450mg PO TID covers Strep and Staph
- Cephalexin 500mg PO q6hrs OR
Pediatric Outpatient
- Cephalexin 25-50mg/kg/day PO divided q6-8h (max 500mg/dose) OR
- Add 8-12mg/kg/day (TMP) PO divided BID if MRSA suspected
- Clindamycin 30-40mg/kg/day PO divided TID (max 1.8g/day)
Inpatient
- Vancomycin 20mg/kg IV q12hrs OR
- Clindamycin 600mg IV q8hrs OR
- Linezolid 600mg IV q12hrs OR
- Daptomycin 4mg/kg IV once daily
Pediatric Inpatient
- Vancomycin 15mg/kg IV q6hrs OR
- Clindamycin 10-13mg/kg IV q8hrs (max 900mg/dose) OR
- Linezolid <12yr: 10mg/kg IV q8hrs; >12yr: 600mg IV q12hrs
- Doxycycline 100mg PO/IV q12hrs daily + Cefepime 1g IV q12hrs x 10 days
- Ciprofloxacin 400mg IV q12hrs x 10 days
- Ciprofloxacin 500mg PO q12hrs x 10 days
- TMP/SMX 2 DS tablets PO q12hrs x 10 days
- Ceftriaxone 1g (50mg/kg) IV q24hrs