9.5 Primary Pyomyositis
| Type of Infection | First Line (with Dosage and Duration) |
Alternative First Line (with dosage and Duration) |
Comments |
|---|---|---|---|
| Primary Pyomyositis | Amoxicillin- clavulanic acid 1g+200 mg q8h IV) Or Cefalexin 500 mg q8h per oral Or Inj Cloxacillin 2g q6h IV Or 500 mg q6h per oral Or Inj Cefazolin 1g q8h Duration: 48-72 hours after clinical improvement and adequate source control | In case of primary pyomyositis with features of sepsis, consider Inj Piperacillin- tazobactam 4.5g q6h + Inj Vancomycin 15- 20 mg/kg/day every 8 to 12 hours. Duration: 48-72 hours after clinical improvement and adequate source control | Optimize antibiotics based on pus culture and susceptibility report. |
For common etiological agents of Primary Pyomyositis, see Annexure B.9.5