Infection
Superficial surgical site infections
Antibiotic Therapy (before prescribing, carefully read the Notes / Comments section below)

First line:

Flucloxacillin oral 250-500 mg 6 hourly


If true penicillin / beta-lactam allergy or suspected MRSA:

Doxycycline oral 200mg stat, then 100mg once daily

N.B. In pregnant patients, doxycycline is contraindicated. See here for an alternative option in penicillin allergic pregnant patients. If pregnant with suspected MRSA, discuss with a microbiologist.

Duration
7 days
Notes / Comments

Consider surgical site infection if there is spreading cellulitis around the wound, the wound is dehiscing, there is increased swelling or tenderness, or there is worsening or purulent discharge from the wound. If there is any suspicion of a deep infection, the patient should be referred for assessment by a surgeon and consideration for admission. 

 

 

Guideline reviewed February 2025
Page updated April 2025



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