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. 2006 Apr 8;332(7545):838–841. doi: 10.1136/bmj.332.7545.838

Table 5.

Empirical antibiotic treatment of wound infection in systematically unwell patient*

Type of wound Antibiotic
Wound infection Co-amoxiclav
Surgical wound infection Cefuroxime and metronidazole or co-amoxiclav
Bite wound Co-amoxiclav
Diabetic ulcer Co-amoxiclav and ciprofloxacin
Osteomyelitis Co-amoxiclav or ciprofloxacin and clindamycin
Necrotising fasciitis High dose benzylpenicillin plus clindamycin (with or without ciprofloxacin)
MRSA infection suspected Vancomycin or linezolid
*

Rough guide only. In general, treatment should be guided by discussion with the local microbiology department. Choice of antibiotics will depend on previous microbiology where available, previous antibiotic treatment, site of surgery, and the local prevalence of MRSA.