Boil - Abscess - Furuncle

Abscess, Boils, Furuncles: antibiotic therapy recommendations

Possible therapeutic alternatives

Abscess, Boils, Furuncles

Incision and drainage first

Outpatient treatment:

Unresolving:
Bactrim DS orally twice daily
OR
Clindamycin 300mg orally four times daily or if severe 600mg IV every 6 hours
OR
Doxycycline 100mg orally twice daily for 7-10 days.
OR
Cephalexin (Keflex ®) 500mg orally every 6 hours
OR
Dicloxacillin 500mg orally four times daily

Hospitalized Patient:

Vancomycin 1 gram ivpb q12h (patient-specific dosing required - target trough 10-20 mcg/ml depending on severity)

Documented MSSA:

Cefazolin 1 gram IVPB q8h or consider oral agent above.

MRSA:

Daptomycin 4 mg/kg IV q 24h OR
Linezolid 600 mg orally or IV q 12h OR
Ceftaroline 600mg IV q12h.