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

Purulent SSTIs

Common Pathogens

S. auerus (MSSA, MRSA)

Choose Severity

Mild

  • Localized infection

  • ≤ 3cm in size

Moderate

  • Localized infection

  • > 3cm in size

Severe

  • Failure of oral antibiotics

  • Immunocompromised

  • Rapid progression of erythema

  • Systemic signs of infection

  • Temp >38°C

  • Tachycardia

  • Tachypnea

  • Abnormal white blood cell count

De-Escalation

Once susceptibilities are available, de-escalate to narrowest spectrum PO antibiotic