Spectrum: Local Antimicrobial Stewardship, for Prisma Health Children’s Hospital-Midlands

Impetigo/Ecthyma

Common Pathogens

Beta hemolytic streptococci

S. aureus

Recommended Empiric Treatment

Cephalexin PO

AND

Mupirocin topical

Alternative Regimen

Clindamycin PO

De-escalation

De-escalate to narrowest spectrum PO antibiotic based on susceptibilities

Duration of Therapy

7 days