Episiotomy infection
Treatment of episiotomy infection
Flucloxacillin
Flucloxacillin 500mg capsules
500mg every 6 hours for 5 days
Flucloxacillin 250mg/5ml oral solution sugar free
500mg every 6 hours for 5 days
Metronidazole
Metronidazole 400mg tablets
400mg every 8 hours for 5 days
Metronidazole 200mg/5ml oral suspension
400mg every 8 hours for 5 days
If allergic to penicillin, erythromycin (tablets or oral suspension) AND metronidazole.
Erythromycin
Erythromycin 250mg gastro-resistant tablets
500mg every 6 hours for 5 days
Erythromycin ethyl succinate 250mg/5ml oral suspension sugar free
500mg every 6 hours for 5 days
Metronidazole
Metronidazole 400mg tablets
400mg every 8 hours for 5 days
Metronidazole 200mg/5ml oral suspension
400mg every 8 hours for 5 days
Prescribing Notes:
- Flucloxacillin has adequate streptococcal cover; therefore it is not necessary to prescribe penicillin in addition, for empirical treatment of non-severe cellulitis.
- All wounds have potential for bacterial infection and may become colonised but swabs should only be taken if there are clinical signs of infection.
- Prescription of antibiotics should not delay appropriate surgical management e.g. drainage or aspiration of an abscess.
- See also Wound Management section of the formulary.
History Notes
06/06/2024
Erythromycin ethyl succinate 500mg/5ml oral suspension sugar free discontinued and removed
15/12/2021
East Region Formulary content agreed.