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Table 3 Congruency of treatment recommendations for skin infections in adults with national commensal S. aureus resistance rates

From: Primary care treatment guidelines for skin infections in Europe: congruence with antimicrobial resistance found in commensal Staphylococcus aureusin the community

 

Topical AB

Resistance rate*

First choice systemic AB

Resistance rate*

Second choice systemic AB

Resistance rate*

Impetigo

Austria

Fusidic acid

1.0

Cephalosporin

No data

Amoxicillin + Clavulanic acid

1.5

Belgium

Fusidic acid

3.4

Flucloxacillin

2.2

Clarithromycin

16.3

France

Fusidic acid

4.0

No specific advice

Hungary

No guideline

Netherlands

Fusidic acid

5.2

Flucloxacillin

1.0

Azithromycin

6.9

Spain

Mupirocin

1.6

Penicillin (IM)/Cloxacillin

86.0

Clindamycin

9.5

    

1.3

  

Sweden

Retapamulin

0

Flucloxacillin

0

Cefadroxil

No data

UK

Fusidic acid

7.8

Flucloxacillin

1.6

Clarithromycin

8.9

Cellulitis

Austria

  

Penicillin (parenteral)

64.4

Clindamycin

11.1

Belgium

  

Flucloxacillin

2.2

Clindamycin

14.4

France

No guideline

Hungary

No guideline

Netherlands

  

Flucloxacillin

1.0

Claritromycin

5.5

Spain

  

Cloxacillin

1.3

Amoxicillin + Clavulanic acid

1.3

Sweden

No guideline

UK

  

Flucloxacillin

1.6

Ery/Clarithromycin

8.9

Folliculitis and Furuncle

Austria

  

Cephalosporin

No data

Amoxicillin + Clavulanic acid

1.5

Belgium

No guideline

France

No guideline

Hungary

No guideline

Netherlands

  

Flucloxacillin

1.0

No second choice

Spain

  

Cloxacillin

1.3

No second choice

Sweden

  

Flucloxacillin

0

Cefadroxil

No data

UK

  

Flucloxacillin

1.6

Ery/Clarithromycin

8.9

  1. *A recommendation is congruent if the resistance rate in S. aureus to that antibiotic is <20%. Data in bold indicate a resistance rate of >20%.