Boil medical therapy
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Yamuna Kondapally, M.B.B.S[2]
Overview
Overview
The mainstay of therapy for mild furuncles is incision and drainage only. Antimicrobial therapies are indicated in moderate and severe furuncles. Empiric antimicrobial therapies for furuncle include either TMP-SMX or Doxycycline for moderate furuncles, and either Vancomycin, Daptomycin, Linezolid, Telavancin, or Ceftaroline for severe furuncles.
Medical Therapy
Medical Therapy
Boil (furuncle)
- Spontaneous healing:
- After a period of itching and mild pain, the boils (furuncles) may heal spontaneously.
- Mild
- Preferred regimen: incision and drainage
- Moderate
- Empiric treatment :TMP-SMX OR Doxycycline
- Culture directed treatment
- MSSA (methicilin susceptible staphylococcus aureus): TMP-SMX
- MRSA (methicilin resistant staphylococcus aureus): Dicloxacillin OR Cephalexin
- Severe
- Empiric treatment :Vancomycin OR Daptomycin OR Linezolid OR Televancin OR Ceftaroline
- Culture directed treatment
- MSSA (methicilin susceptible staphylococcus aureus): Nafcillin OR Cefazolin OR Clindamycin
- MRSA (methicilin resistant staphylococcus aureus): Vancomycin OR Daptomycin OR Linezolid OR Televancin OR Ceftaroline
References
References
- ↑ Gilbert, David (2015). The Sanford guide to antimicrobial therapy. Sperryville, Va: Antimicrobial Therapy. ISBN 978-1930808843.
- ↑ Boils(furuncle).MedlinePlus(2016).https://medlineplus.gov/ency/article/001474.htm Accesses on August 11,2016
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