All information is correct at time of printing and is subject to change without notice. The Devon Formulary and Referral Website is not in any way liable for the accuracy of any information printed and stored by users. For the most up-to-date information, please refer to the website.
Formulary
Back
Contact us about this page
Skin and soft tissue infections
Toggle Pages
Management of bites, human and animal
Management of cellulitis and erysipelas
Management of cold sores/Herpes simplex
Management of dermatophyte infection
Management of impetigo
Management of infected eczema
Management of lacerated wounds
Management of leg ulcers
Management of Lyme disease
Management of methicillin-resistant Staphylococcus aureus (MRSA)
Management of scabies
Management of varicella zoster (chicken pox) and herpes zoster (shingles)
Chapter 5: Infections
Toggle Parent Pages
Print this page
Principles of antibacterial treatment
Coronavirus disease (COVID-19)
Eye infections
Gastro-intestinal tract infections
Genital tract infections
Meningitis
Oral and dental infections
Respiratory tract infections (RTI)
Skin and soft tissue infections
Urinary tract infections (UTI)
5.1 Antibacterial drugs
5.2 Antifungal drugs
5.3 Antiviral drugs
5.4 Antiprotozoal drugs
5.5 Anthelmintics
Contact us about this page
Management of leg ulcers
First Line
Second Line
Specialist
Hospital Only
This page is currently under review.
Invasive Group A Streptococcal infections have increased in incidence and need to be assessed rapidly in hospital. Maintain a high index of suspicion in patients with a high fever, severe muscle aches, confusion, unexplained D&V, local muscle tenderness, or severe pain out of proportion to external signs, hypotension, a flat red rash over large area of the body, conjunctival suffusion. |
Ulcers are always colonised.
Culture swabs and antibiotics are only indicated if cellulitis is present. Treat with cellulitis regimen (see here for guidance).
Antibiotics should only be used in active infection (increased pain, pyrexia, erythema beyond 2cm, localised heat). If antibiotics given, review with culture results.
