When is vancomycin indicated in the treatment of necrotizing fasciitis indicated?

Updated: Oct 17, 2018
  • Author: Steven A Schulz, MD; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

If staphylococci or gram-negative rods are involved, vancomycin and other antibiotics to treat gram-negative organisms other than aminoglycosides may be required. The use of vancomycin to treat methicillin-resistant Staphylococcus aureus (MRSA) may depend on the clinical situation. For example, use may depend on whether a nasocranial infection is present, or it may need to be avoided in patients who are likely to be carriers of MRSA (eg, those with diabetes, those who use illicit drugs, those undergoing hemodialysis).

For more information on antimicrobial therapy, see the Medscape Reference articles Necrotizing Fasciitis Empiric Therapy and Necrotizing Fasciitis Organism-Specific Therapy


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