Hand cellulitis: Difference between revisions
| Line 9: | Line 9: | ||
==Treatment== | ==Treatment== | ||
*Mild/moderate cellulitis | *Mild/moderate cellulitis | ||
**TMP | **[[TMP-SMX DS]] 1-2 tab PO x 7-10d + ([[cephalexin]] 500mg PO QID x7-10d OR dicloxacillin 500mg PO QID x 7–10d) | ||
*Severe cellulitis | *Severe cellulitis | ||
**Vancomycin 1gm IV q12hr | **[[Vancomycin]] 1gm IV q12hr | ||
==Disposition== | ==Disposition== | ||
Revision as of 07:58, 3 March 2014
Background
- Remove rings if infections are near the digits
Clinical Features
- Erythema, warmth, and edema
- Range of motion of digits, hand, and wrist should not be painful
- Pain predicts extensive involvement and the need for inpatient management
Treatment
- Mild/moderate cellulitis
- TMP-SMX DS 1-2 tab PO x 7-10d + (cephalexin 500mg PO QID x7-10d OR dicloxacillin 500mg PO QID x 7–10d)
- Severe cellulitis
- Vancomycin 1gm IV q12hr
Disposition
- Consider admission for:
- Immunocompromised
- Clinical toxicity
- Evidence of deep-space involvement
- Rapidly spreading infections
See Also
Source
Tintinalli