Hello and welcome to healthcaremagic
Recurrent
folliculitis is commonly due to
staphylococcus aureus colonization/carrier state of the nasal flora and skin flora. At least 30 % of the general population is carrier for staph aureus in there nasal flora.
Since the pus culture has already revealed staph aureus, the best way to approach would be to start an oral antibiotic, to which the bacterium is sensitive as must have been revealed by pus culture sensitivity. My empirical choice of oral antibiotic would have been
Amoxycillin 500mg in combination with
clavulanic acid 125 mg (Augmentin 625 mg), thrice daily, for a week
OR
Cephalexin (Cap Phexin BD 750mg) twice daily
OR
Cefadroxil 500mg (Tab Droxyl) twice daily, for a week. This would take care of the infection.
A blood sugar testing is also advisable
Oral antibiotics (guided by culture and sensitivity) help to eradicate the carrier state, but they may be required to be continued for an extended period of time, say 1-3 months.
An OTC antibacterial cream/ointment e.g 2% mupirocin can be applied twice daily over the boils as well as to the Vestibule of the external nares. Vestibular application would help to eradicate nasal carriage of staphylococcus aureus.
Another alternative for eradicating nasal carriage is administering a course of oral
rifampicin 600 mg twice daily for 5 days along with a penicillin group of drugs e.g Amoxycillin 500mg or
Cloxacillin 500 mg.
General precautions like maintaining meticulous hygiene (personal and surroundings), using antibacterial soaps would also help in addition.
take care
regards