Post-operative wound infection - dirty sites

Micro Organisms

Polymicrobial 

First Line

Important: Therapy

Co-amoxiclav IV for 7 days

If MRSA confirmed or suspected - Add vancomycin IV

 

Notes:

Second line - (Penicillin allergy)

Important: Therapy

Ceftriaxone IV + metronidazole IV (+/- gentamicin IV if not improving ) for 7 days

If MRSA confirmed or suspected - Add vancomycin IV

Discuss with microbiology oral options

Notes:

Important: Notes

If collection present - this will require drainage.

Base treatment on sensitivities where available.