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Diabetic Foot

Organisms S.aureus in mild disease, S.aureus or beta-haemolytic streptococci in moderate disease.
Samples Should be considered if there is clinical failure of empirical antibiotics.
Treatment  
1st line Flucloxacillin 1g four times daily (7 days).
2nd line Doxycycline 100mg twice daily (7 days) for mild disease.
Cotrimoxazole 960g twice daily (7 days) for moderate disease.
Consider addition of metronidazole 400mg three times a day if anaerobes suspected.

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