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Cellulitis (Monitoring (Culture and sensitivity results, healing of…

- - - - Mild
        
        incision/drainage
        
        ABX typically not required
      - Moderate
        
        incision and drainage
        
        PO Bactrim or Doxycycline or linezolid (expensive)
      - Severe
        
        incision/drainage
        
        IV Vanc, Dapto, linezolid, telavancin, ceftaroline
      - Need to cover MRSA (gram +) and strep pyogenes (gram +)
      - Treat for 5 days, can extend if needed
    - - Mild
        
        No MRSA Risk
        
        PO Pen VK, cephalexin, dicloxacillin, clindamycin
        
        MRSA Risk
        
        PO Bactrim OR doxy PLUS pen, amox, cephalexin
      - Moderate
        
        No MRSA Risk
        
        IV Pen, cefazolin, ceftriaxone, clindamycin
        
        MRSA Risk
        
        IV Vanc, Dapto, lineszolid, telvancin, ceftaroline
      - Severe
        
        No Necrotizing Fasciitis
        
        Vanc PLUS Zosyn, imipenem/cilastatin, meropenem
        
        Necrotizing Fasciitis
        
        Vanc OR Linezolis PLUS zosyn OR meropenem OR imipenem/cilastatin OR ertapenem OR ceftriaxone+metronidazole