Decubitus Ulcer

Decubitus ulcer

Possible therapeutic alternatives

Decubitus ulcer with sepsis

Severe:

Piperacillin-tazobactam 3.375 grams IV every 6 hours OR

Ticarcillin-clavulanic acid 3.1 grams IV every 6 hours OR

Doripenem 500 mg IV q8h OR
Meropenem 1 gm IV q8h OR
Imipenem 500mg IV every 6 hours. OR

[Ciprofloxacin 400mg ivpb q12h or Levofloxacin 500mg ivpb qd] PLUS [Clindamycin 600mg ivpb q6-8h or Metronidazole 500mg ivpb q6-8h.]

Ceftazidime 1-2 grams IV every 8 hours OR Cefepime 1-2 grams q 12h
PLUS Metronidazole 500mg ivpb q6-8h.

Penicillin allergic:

[Aztreonam 1-2g ivpb q6-8h PLUS
Metronidazole 500mg ivpb q6h ] ]

Decubitus ulcer (uncomplicated)

Common pathogens

Ampicillin-sulbactam 1.5-3 grams ivpb q6h OR
Local debridement + antibiotic ointment + moist wound dressing.

Images

Decubitus Ulcer (Ankle)