Antimicrobial prescribing: NHS Forth Valley
Important: Therapy
Ceftriaxone (at CNS doses) IV + Metronidazole IV/PO
Notes:
Co-amoxiclav PO for oral switch
Clindamycin PO for oral switch if penicillin allergic
If MRSA positive add Vancomycin
Acute Mastoiditis / Lemierres
Duration
Mastoiditis (WITHOUT intracranial involvement) - 2 weeks
Mastoiditis (WITH intracranial involvement) - 4 weeks
Lemierres - 3-6 weeks
Important: Notes
Involve ENT