Leg Ulcer

Leg UlcerĀ 

PHE

CKS

Ulcers always colonised. Antibiotics do not improve healing unless active infection. If active infection, send pre-treatment swab. Review antibiotics after culture results.

Active infection if cellulitis/increased pain/pyrexia/purulent exudate/odour.

If active infection:

flucloxacillin

500mg QDS

All:

for 7 days. If slow response continue for a further 7 days

or clarithromycin

500mg BD