Septicemia Cellulitis Treatment
Organisms
1. staphylococcus aureus; 2. streptococcus pyogenes
Septicemia Cellulitis Treatment
- Ampicillin with Cloxacillin Igm V Q6H+
Gentamicin 3-5 mg/kg as single dose daily or
- Amoxyelav 1.2gm IV Q8H+
Gentamicin/ Tobramycin 3-5 mg/kg/day IV
Amikacin 15mg/ kg day IV OD + or
Ciprofloxacin 200mg IV Q12H or
Cefazoline Igm IV Q12H
For serious infections
one of the following to be added,
Rifampicin 600mg PO OD or
Vancomycin 1 gm in 100ml NS over 1 hour Q12H or
Teicoplanin 400mg IV on day one followed by 200mg IV OD
If pseudomonas infection
is suspected as in burns,
consider
Cefaperazone with Sulbactum 1-2 gm IV Q12H or
Cefpirome 1-2gm IV Q12H or
Ceftazidime 1-2gms IV Q8H +
Ofloxacin 400mg Q12H or
Gentamicin/Tobramycin 3-5mg/kg/day IV
Amikacin 15mg/kg/day IV OD
If wound is deep and foul smelling
add
Metronidazole 500mg IV Q6H to cover anaerobes.
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