Permitted indications

May be used for the following indications:

  1. Oral switch in osteomyelitis in patients allergic to penicillin.
  2. Diabetic foot infection as per the Scottish Diabetes Foot Action Group guideline [intranet link only] (endorsed by SAPG).
  3. Necrotising fasciitis or severe or rapidly progressing skin infection in an intravenous drug user.
  4. Surgical prophylaxis where specified in the departmental guideline.
  5. Second-line oral/IV option for patients with lymphoedema unresponsive to first-line therapy or penicillin allergic.
  6. Second-line for appendicitis, peritonitis, penetrating abdominal trauma, pilonidal abscess, perianal abscess, acute osteomyelitis, septic arthritis, acute discitis, deep myositis, orbital cellulitis, pre-septal cellulitis, quinsy, cellulitis, post-operative wound infections for children and infants with penicillin allergy.
  7. Toxic shock syndrome in children and infants.

 

Only on the advice of a Medical Microbiologist, Infection Specialist or Maxillofacial Surgeon for:

  1. Patients with deep dental/facial/neck abscesses who are penicillin allergic or unresponsive to first-line therapy.

Treatment may be initiated in primary care.

 

For all other indications, contact the duty Medical Microbiologist.