Ulcers always colonised. Antibiotics do not improve healing unless active infection.
If active infection, cleanse wound with tap water or saline to remove surface contaminants. Remove slough and necrotic tissue. Swab viable tissue displaying signs of infection before treatment.
Review antibiotics after culture results.
Active infection if cellulitis/increased pain/pyrexia/purulent exudate/odour.
Drug details
If active infection
Flucloxacillin 500mg four times daily
For 7 days. If slow response continue for a further 7 days
OR Doxycycline 100mg twice daily
For 7 days. If slow response continue for a further 7 days
Ulcers always colonised. Antibiotics do not improve healing unless active infection.
If active infection, cleanse wound with tap water or saline to remove surface contaminants. Remove slough and necrotic tissue. Swab viable tissue displaying signs of infection before treatment.
Review antibiotics after culture results.
Active infection if cellulitis/increased pain/pyrexia/purulent exudate/odour.