First Line

Important: Therapy

Benzylpenicillin 2.4 g IV 6 hourly AND Flucloxacillin 2g IV 6 hourly AND Clindamycin 1.2g IV 6 hourly AND Metronidazole 500mg IV 8 hourly AND Gentamicin IV as per protocol

Notes:

Penicillin Allergy (or MRSA positive)

Important: Therapy

Vancomycin IV as per protocol AND Clindamycin 1.2g IV 6 hourly AND Metronidazole 500mg IV 8 hourly AND Gentamicin IV as per protocol

Notes:

Important: Notes

Characterised by pain disproportionate to clinical findings, rapidly spreading infection, dusky skin

SEEK URGENT SURGICAL REVIEW

Second line treatment based on advice from microbiology.

If evidence of toxic shock - consider IVIG