Is cephelexin ok for staph impetigo?

my friend had a bug bite win infected and turn into a staph skin infection. i was qualified first line for a staph infection be a methicillin derivitive, a carbapenem or 2nd gen cephalosporin and the cephelexin isnt a good choice because of soaring resistance. do doctors prescribe cephelexin for staph infections regularly? i just told her to bequeath the cephelexin 2 days and if it gets worse she runs a high-ranking fever or it doesnt get hold of any better to get something else

Answers:
Depends on where on earth you live. In my neighborhood (south side of Chicago) there is such a dignified incidence of community-acquired methicillin-resistant Staph. aureus (MRSA) that clindamycin or Bactrim are routinely prescribed for skin infections. In areas where MRSA is not an issue, cephalexin is fine. Your friend's doctor should know if you're surrounded by a MRSA problem area.

To the other answerer: Staph impetigo is usually diagnosed clinically. Culturing skin infections is repeatedly low yield because you will own lots of endogenous flora mucking things up. The only reason to swab a skin infection is if there is a suspicion for antibiotic resistance (e.g., MRSA) or if the infection is so doomed to failure as to be life-threatening (i.e., there are systemic signs).
What did the lab sensitivity carrying out tests show? This test would be routine near the culture identifying a Staph.
Cephalexin is the drug of choice surrounded by this case. Cabapenem derivatives (Lorabid) isn't in reality used at all for skin infections (at tiniest in this nouns of the country - LOL I don't even think we take it in most pharmacies around here). I know, I know - most populace want high powered antibiotics especially when they hear staph infection. But really Keflex *cephalexin* IS the drug of choice (meaning this is the drug i.e. indicated to be used FIRST) for this diagnosis. One doesn't normally suspect an MRSA (methicillin resistant Staph Aureus) infection right sour the bat from a simple bug bite.

Two days certainly isn't time plenty to panic if the infection doesn't achieve any better. However if friend does run a high frenzy, or it does get worse, as expected contact the prescriber and let them know roughly the change surrounded by status of the infection. Also if there is any 'streaking' read streaks running from the site of infection, send for and let the prescriber know as resourcefully. But DO keep taking the prescription until you talk to your prescriber as he/she did precisely the right article for the condition. You paid them to do a undertaking, now do the subsequent indicated thing =)
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