Complicated Skin and Soft Tissue Infections

cSSTIs Surgical and Medical Management

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Table 1. Antibiotic Treatment of Complicated SSTIs (continued) Antimicrobial Route Tetracyclines (PSIA) Tetracycline Doxycycline Minocycline (Minocin® Tigecycline (Tygacil® Miscellaneous ) (PSIA) ) ) Quinupristin-dalfopristin (Synercid® Clindamycin (Cleocin® (PSIA) Vancomycin (CWAA) Linezolid (Zyvox® Daptomycin (Cubicin® , others) ) (PSIA) Dose PO 250 mg qid OR 500 mg bid PO, IV Adults: Initial 200 mg, then 100 mg/d PO, IV Adults: Initial 200 mg, then 100 mg q12h; Children >8 yr: Initial 4 mg/kg, then 2 mg/kg q12h IV IV IV, IM PO IV 100 mg, then 50 mg q12h 7.5 mg/kg q12h 600–1200 mg/day 500 mg q6h OR 1 gm q12h PO, IV 600 mg q12h; 10 mg/kg q8h ) (CWAA) IV 4 mg/kg q24h Table 2. Rank Order of Bacterial Pathogens Producing Skin and Soft Tissue Infections in North America, 1998–2004 Rank 1 2 3 4 5 6 7 8 9 Pathogen Staphylococcus aureus Pseudomonas aeruginosa Enterococcus spp. Escherichia coli Enterobacter spp. Klebsiella spp. β-hemolytic Streptococcus Proteus mirabilis 10 Coagulase-negative Staphylococcus Serratia spp. No. of Isolates (% of Total) 2,602 (44.6) 648 (11.1) 542 (9.3) 422 (7.2) 282 (4.8) 248 (4.2) 237 (4.1) 166 (2.8) 161 (2.8) 125 (2.1)

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