Felon Organism-Specific Therapy

Updated: Apr 12, 2019
  • Author: Ramotsumi M Makhene, MD; Chief Editor: Thomas E Herchline, MD  more...
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Specific Organisms and Therapeutic Regimens

Organism-specific therapeutic regimens for felons are provided below, including those for methicillin-susceptible Staphylococcus aureus, methicillin-resistant S aureus, and gram-negative organisms. [1, 2, 3, 4, 5, 6, 7, 8, 9]

Adequate early treatment of a felon can prevent abscess formation. Treatment includes incision and drainage along with antibiotic therapy. [10] Pack gauze loosely into the wound to prevent skin closure, apply a loose dressing, and splint and elevate the finger. Antibiotic therapy should be determined on the basis of the results of the culture and sensitivity studies.

Staphylococcus aureus (methicillin susceptible) or streptococci

See the list below:

Staphylococcus aureus (methicillin resistant)

See the list below:

Gram-negative organisms

See the list below:

  • Ciprofloxacin 500mg PO BID or

  • Levofloxacin 500mg PO daily or

  • Doxycycline 100mg PO BID or

  • Trimethoprim-sulfamethoxazole (160mg/800mg) 1 DS tablet PO BID

  • Duration of therapy: 7-10d