Third Pass Management:
If Partial Treatment Failure - history or diary indicates some improvement consider repeating last treatment regimen again before preceding to next step.
If Clinical Treatment Failure ( defined as new lesion(s) after full treatment completed) has occurred proceed to:
Swab nose and throat of treatment failures again:
A simple guide for flucloxacillin dosage is:
Note: both Rifampicin and Flucloxacillin suspension are unpalatable.
Beware drug interactions with rifampicin (especially OCP) and propensity for rifampicin to change colour of urine and secretions etc.
If carried or infecting organism isolated is MRSA, or case has multiple antibiotic allergies, consider early discussion with Infectious Diseases Physician or Clinical Microbiologist - phone via Tauranga Hospital switchboard
NB: Clinicians are welcome to contact (via Hospitals switchboard or Pathlab BOP)infectious disease specialist or microbiologist/pathologist at any stage of this guideline for further advice.
Disclaimer: This site is intended to be flexible and frequently updated. While every effort has been made to ensure accuracy, all information should be verified.