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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Leg Cellulitis Be Treated?

i have leg cellulitis. i am on keflex 500 mg qid for 2 weeks. Since i have been very resistive to antibiotics my dr recommends 500 mg bid for years to help prevent reinfection. i too am a dr. now since keflex has a short half life of a few hours, taking it bid would not give me total protection.
Mon, 16 Jan 2017
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General & Family Physician,  's  Response
Hi,

I do understand your pain and discomfort. As per your history please follow IDSA 2014 guidelines for leg cellulites:

1)Non-purulent - [mild] Dicloxacillin, Cephalexin, Amoxicillin/clavulanate, Clindamycin, Moderate-Nafcillin or oxacillin, Ceftriaxone, Cefazolin, Severe-Vancomycin plus piperacillin/tazobactam

2)Purulent - Moderate-Doxycycline or minocycline, Trimethoprim, Sulfamethoxazole, Severe infection-Vancomycin, Daptomycin, Linezolid, Ceftaroline, TelavancinIncision and drainage of abscess is indicated In all purulent cases.

I hope I was able to address your query. If you have any further questions, please do not hesitate to write to me. Wishing you all the best.

Thanks,
Dr. Uday Nath Sahoo
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How Can Leg Cellulitis Be Treated?

Hi, I do understand your pain and discomfort. As per your history please follow IDSA 2014 guidelines for leg cellulites: 1)Non-purulent - [mild] Dicloxacillin, Cephalexin, Amoxicillin/clavulanate, Clindamycin, Moderate-Nafcillin or oxacillin, Ceftriaxone, Cefazolin, Severe-Vancomycin plus piperacillin/tazobactam 2)Purulent - Moderate-Doxycycline or minocycline, Trimethoprim, Sulfamethoxazole, Severe infection-Vancomycin, Daptomycin, Linezolid, Ceftaroline, TelavancinIncision and drainage of abscess is indicated In all purulent cases. I hope I was able to address your query. If you have any further questions, please do not hesitate to write to me. Wishing you all the best. Thanks, Dr. Uday Nath Sahoo