What are the indications for organism-specific therapy for cellulitis?

Updated: Sep 13, 2018
  • Author: Alfred Scott Lea, MD; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

Answer

Once microorganisms are identified based on cultures, treatment is tailored to the patient’s needs. The most common offenders (beta-hemolytic streptococci, MSSA, MRSA) are discussed in Cellulitis Organism-Specific Therapy.

Similarly, empiric therapy in patients with cellulitis involving specific clinical situations (ie, marine exposure, fresh water exposure, nonhuman mammalian bites, human bites, diabetic foot wounds, recurrent cellulitis, facial cellulitis/erysipelas/periorbital cellulitis, surgical site infections, immunosuppressive states, necrotizing cellulitis/Fournier gangrene) is beyond the scope of this article.

Unusual forms of SSTI (ie, clostridial myonecrosis, pyomyositis, cutaneous anthrax, erysipeloid, glanders, tularemia, plague, and bacillary angiomatosis), are discussed in separate Medscape topics.


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