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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication For Folliculitis On Scalp, Underarms And Groin

hi, i am suffering with folliculitis on scalp,underarms and groin areas..i had a pus culture done which revealed Staph infection. i been taking antibiotics for the same years and also using prescribed anti bacterial creams..the infection disappears but returns as soon as the medical course is over..please suggest.
Mon, 30 Jun 2014
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Dermatologist 's  Response
Hello and welcome to healthcaremagic

Recurrent folliculitis is commonly due to staphylococcus aureus colonization/carrier state of the nasal flora and skin flora. At least 30 % of the general population is carrier for staph aureus in there nasal flora.

Since the pus culture has already revealed staph aureus, the best way to approach would be to start an oral antibiotic, to which the bacterium is sensitive as must have been revealed by pus culture sensitivity. My empirical choice of oral antibiotic would have been Amoxycillin 500mg in combination with clavulanic acid 125 mg (Augmentin 625 mg), thrice daily, for a week

OR

Cephalexin (Cap Phexin BD 750mg) twice daily

OR

Cefadroxil 500mg (Tab Droxyl) twice daily, for a week. This would take care of the infection.

A blood sugar testing is also advisable

Oral antibiotics (guided by culture and sensitivity) help to eradicate the carrier state, but they may be required to be continued for an extended period of time, say 1-3 months.

An OTC antibacterial cream/ointment e.g 2% mupirocin can be applied twice daily over the boils as well as to the Vestibule of the external nares. Vestibular application would help to eradicate nasal carriage of staphylococcus aureus.

Another alternative for eradicating nasal carriage is administering a course of oral rifampicin 600 mg twice daily for 5 days along with a penicillin group of drugs e.g Amoxycillin 500mg or Cloxacillin 500 mg.

General precautions like maintaining meticulous hygiene (personal and surroundings), using antibacterial soaps would also help in addition.

take care
regards
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Suggest Medication For Folliculitis On Scalp, Underarms And Groin

Hello and welcome to healthcaremagic Recurrent folliculitis is commonly due to staphylococcus aureus colonization/carrier state of the nasal flora and skin flora. At least 30 % of the general population is carrier for staph aureus in there nasal flora. Since the pus culture has already revealed staph aureus, the best way to approach would be to start an oral antibiotic, to which the bacterium is sensitive as must have been revealed by pus culture sensitivity. My empirical choice of oral antibiotic would have been Amoxycillin 500mg in combination with clavulanic acid 125 mg (Augmentin 625 mg), thrice daily, for a week OR Cephalexin (Cap Phexin BD 750mg) twice daily OR Cefadroxil 500mg (Tab Droxyl) twice daily, for a week. This would take care of the infection. A blood sugar testing is also advisable Oral antibiotics (guided by culture and sensitivity) help to eradicate the carrier state, but they may be required to be continued for an extended period of time, say 1-3 months. An OTC antibacterial cream/ointment e.g 2% mupirocin can be applied twice daily over the boils as well as to the Vestibule of the external nares. Vestibular application would help to eradicate nasal carriage of staphylococcus aureus. Another alternative for eradicating nasal carriage is administering a course of oral rifampicin 600 mg twice daily for 5 days along with a penicillin group of drugs e.g Amoxycillin 500mg or Cloxacillin 500 mg. General precautions like maintaining meticulous hygiene (personal and surroundings), using antibacterial soaps would also help in addition. take care regards