Skin infections are a really common chief complaint in urgent care. Cellulitis, animal bites, abscesses, you name it. My last shift had all three, including a severe case of cellulitis, which was rapidly progressing, and had to be admitted for IV broad spectrum antibiotics.
It’s important to know which bacteria are associated with each infection as your antibiotic must cover for it. This past month, I had a case of a cat bite that was initially treated with Cephalexin, pt came in to our urgent care couple of days after with tactile fever, chills, and hypotension. Pt was quickly out of urgent care, referred to our adjacent ER & later admitted for sepsis 2/2 (secondary to) cat bite. Yikes!
So, all in all, make sure you know which antibiotics to choose from & know when skin infections should be referred to the ER
Thanks to HippoEd for all the wonderful lessons. What I give you here is just a snippet of their amazing lectures, be sure to check them out on the link below:
Treatment for animal/human bites
When to transfer to ER?
Check back next week for another installment of urgent care Boot Camp Fridays—not sure yet which topic I’ll be going over next week, so if you have any suggestions let me know below~