Uncomplicated Abscess

A 78 year old presents to a ED in the with LLE pain/redness + fever not improving on 2 days of cephalexin. Exam reveals a 2 cm abscess. I&D is done & the patient is stable.

What is the best antibiotic plan?

A. Clindamycin
B. Doxycycline
C. Cephalexin
D. Hold Antibiotics

How did others respond?

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Best Answer

Doxycycline

Explanation: The patient has a moderate severity purulent SSTI and per 2014 IDSA Guidelines should receive I&D and oral antibiotics. Empiric antibiotics should target S. aureus. The need for MRSA coverage can be determined by local prevalence.