Micro Organisms

Staph.aureus

MRSA

First Line - localised disease

Important: Therapy

Fusidic acid 2% cream topical for 5 days

If MRSA confirmed or suspected - Mupirocin 2% cream topical for 5 days

Use topical route for very localised infections only

Notes:

If recurrent, send swabs for culture

First Line - widespread disease

Important: Therapy

Flucloxacillin PO for 5-7 days

If MRSA confirmed or suspected, discuss with microbiology

Notes:

Send swabs or scrapings for C+S

Penicillin Allergy - widespread disease

Important: Therapy

Azithromycin PO for 5-7 days

Alternative: Co-trimoxazole (if non-responsive to clarithromycin/azithromycin in primary care)

Notes:

Send swabs or scrapings for C+S

Important: Notes

CKS - Impetigo

 

If MRSA confirmed/suspected - discuss with microbiology