by Stephen Holt, MD, MS

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    00:02 Okay, having made our diagnosis of cellulitis, let's talk about its management.

    00:07 First off, pretty much all patients with cellulitis on a limb are gonna benefit from warm compresses and limb elevation.

    00:14 Next up, for mild infections, with no history of MRSA, not immunocompromised and non-purulent cellulitis or erysipelas, you can get by with just a first generation cephalosporin like cephalexin.

    00:27 For mild to moderate conditions, or if there's evidence of purulence, you should really probably use MRSA coverage.

    00:33 So doxycycline and clindamycin or Bactrim would be useful for community-acquired MRSA whereas for hospitalized patients with moderate to severe symptoms you're gonna need intravenous vancomycin.

    00:45 This would also be the case for folks who are immunocompromised or if they're failing to respond to outpatient antibiotics.

    00:51 Lastly, for those patients for whom you are concerned about necrotizing fasciitis, you may need to get a surgical consult for surgical exploration or even if there's just an abscess, you're gonna want to I&D it because your antibiotics aren't gonna penetrate into the abscess without first cutting it open.

    About the Lecture

    The lecture Cellulitis by Stephen Holt, MD, MS is from the course Skin Infections.

    Included Quiz Questions

    1. Intravenous vancomycin
    2. Intravenous metronidazole
    3. Oral clindamycin
    4. Intravenous cefazolin
    5. Oral doxycycline

    Author of lecture Cellulitis

     Stephen Holt, MD, MS

    Stephen Holt, MD, MS

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