Pediatric emergency medicine trisk 0788 0788

TABLE 39.2
RECOMMENDED THERAPEUTIC AGENTS FOR INGUINAL
INFECTIONS
Infection

Antibiotic/antiviral agent

Skin and soft tissue
infections

First-generation cephalosporin according to local
sensitives
Clindamycin or trimethoprim/sulfamethoxazole
for MRSA coverage
Streptomycin or gentamycin, fluoroquinolones,
tetracyclines
Gentamycin or ciprofloxacin for mild disease
Acyclovir a
Penicillin G benzathine
Azithromycin or ceftriaxone

Yersinia pestis (plague)

Ulceroglandular tularemia
HSV
Syphilis
Haemophilus ducreyi
(chancroid)
Lymphogranuloma
Doxycycline or erythromycin b
venereum (Chlamydia

trachomatis )
Granuloma inguinale
Azithromycin, doxycycline, ciprofloxacin
(Klebsiella granulomatis )
trimethroprim/sulfamethoxazole, or
erythromycin
a To

shorten symptoms of primary disease; therapy cannot affect frequency/severity of recurrence.
treatment course.

b Three-week