Fast Five Quiz: How Much Do You Know About Cellulitis?

Michael Stuart Bronze, MD

Disclosures

November 30, 2015

In cases of cellulitis without draining wounds or abscess, streptococci continue to be the likely etiology, and beta-lactam antibiotics are appropriate therapy, as noted in the following:

  • In mild cases of cellulitis treated on an outpatient basis, dicloxacillin, amoxicillin, and cephalexin are all reasonable choices;

  • Clindamycin or a macrolide (clarithromycin or azithromycin) are reasonable alternatives in patients who are allergic to penicillin;

  • Levofloxacin may also represent an alternative, but the prevalence of resistant strains has increased, and fluoroquinolones are best reserved for gram-negative organisms with sensitivity demonstrated by culture; and

  • Some clinicians prefer an initial dose of parenteral antibiotic with a long half-life (eg, ceftriaxone followed by an oral agent).

For more on the treatment of cellulitis, read here.

Editor's Recommendations

Comments

3090D553-9492-4563-8681-AD288FA52ACE
Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.
Post as:

processing....