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

Systemic Illness

Management

Collect gram stain and culture

Suture removal + I & D

Most Likely Pathogens

GAS

Clostridia

Empiric Treatment

Penicillin

PLUS

Clindamycin

If Penicillin Allergy

Clindamycin

De-Escalation

De-escalate based on culture and susceptibilities

Duration

5 days