Non Diabetic Leg Ulcer

Non Diabetic Leg Ulcer 

PHE

CKS

Ulcers always colonised. Antibiotics do not improve healing unless active infection. (purulent exudate / odour, increased pain, cellulitis, pyrexia)

If active infection, send pre-treatment swabs.

Review antibiotics after culture results.

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

If active infection:

flucloxacillin

500mg QDS

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

or clarithromycin

500mg BD

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