First Line

Important: Therapy

IV Flucloxacillin 1g IV 6 hourly

 

If previous MRSA - follow penicillin allergy recommendation

Notes:

Penicillin Allergy

Important: Therapy

Vancomycin IV (as per online calculator)

Notes:

Important: Notes

Bilateral cellulitis is uncommon - consider other causes of bilateral lower limb soft tissue changes e.g. venous eczema before prescribing antibiotics

Mark area and review regularly

Send swabs for culture. Even if no break in skin a firm swab of most cellulitic area may yield pathogen to guide management.

 

Treatment duration:5-7 days