Fournier’s Gangrene

Antimicrobial prescribing: NHS Forth Valley
NHS Forth Valley

First Line

Therapy

Piperacillin-Tazobactam (Tazocin) 4.5g IV 6 hourly AND Gentamicin IV (as per online calculator) AND Metronidazole 500mg IV 8 hourly

Notes:

Penicillin Allergy

Therapy

Vancomycin IV (as per online calculator) AND Gentamicin IV (as per online calculator) AND Ciprofloxacin 400mg IV 8 hourly (consider safety issues) AND Metronidazole 500mg IV 8 hourly

Notes:

Notes

If evidence of toxic shock - ADD Clindamycin 1.2g IV 6 hourly and consider IVIG