Spectrum: Local Antimicrobial Stewardship, for Alberta Children's Hospital

Retropharyngeal and Parapharyngeal Abscess/Cellulitis

View most likely pathogens

Initial Empiric Regimen

Cefazolin

AND

Metronidazole

OR

Clindamycin*

*Increasing resistance to clindamycin in GAS and S. aureus

Alternative Regimen

Piperacillin / Tazobactam

If High Suspicion of MRSA, Add Vancomycin to Above

Vancomycin