Syndrome:  Diabetic foot infection, inpatient

Primary Therapy(s):

  • Ampicillin/sulbactam 3 gm IV q 6h
  • Clindamycin 900 mg IV q8-12h + (Gentamicin or Ciprofloxacin)

Alternate Therapy(s):

  • Piperacillin/tazobactam

Comments:

  • Avoid gentamicin in older diabetics (age > 65) or those with renal insufficiency.
  • Use vancomycin if MRSA is likely.



Guideline Index         Guideline Table  

2nd generation cephalosporins--Cefuroxime, Cefpodoxime
Respiratory quionlones--Levofloxacin, Moxifloxacin