Infectious Skin Diseases - Impetigo - Ecthyma

5 important questions on Infectious Skin Diseases - Impetigo - Ecthyma

What is the first-line topical treatment for Ecthyma?

The first-line topical treatment for Ecthyma is warm compresses, administered four times a day (qid).

What is the dosing for Dicloxacillin in the treatment of Ecthyma?

Dicloxacillin is dosed at 250-500 mg PO qid for 5-7 days in the treatment of Ecthyma.

How is Amoxicillin plus clavulanic acid dosed for Ecthyma?

Amoxicillin plus clavulanic acid is dosed at 25 mg/kg PO tid for the treatment of Ecthyma.
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What is the dosing regimen for Cephalexin in treating Ecthyma?

Cephalexin is dosed at 40-50 mg/kg/day PO for 10 days in the treatment of Ecthyma.

What is the second-line treatment for Ecthyma in patients with penicillin allergy?

Second-line treatment for Ecthyma in penicillin allergy includes:
  • Azithromycin: 500 mg PO × 1, then 250 mg PO daily for 4 days
  • Clindamycin: 15 mg/kg/day PO tid for 10 days
  • Erythromycin: 250-500 mg PO qid for 5-7 days

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