A 78-year-old woman with type 2 diabetes and CKD stage 3a presents with cellulitis of the left lower leg. She has a penicillin allergy (anaphylaxis). ...

Question

A 78-year-old woman with type 2 diabetes and CKD stage 3a presents with cellulitis of the left lower leg. She has a penicillin allergy (anaphylaxis). Her current medications include Metformin 500 mg BD, Apixaban 5 mg BD, and Atorvastatin 20 mg. She is afebrile and systemically well. According to NICE guidance, what is the MOST appropriate oral antibiotic?

Accepted Answer

Clarithromycin 500 mg BD

Answer

Flucloxacillin 500 mg QDS

Answer

Co-amoxiclav 625 mg TDS

Answer

Doxycycline 200 mg stat then 100 mg OD

Answer

Ciprofloxacin 500 mg BD

uk-dgm MCQ (SBA): Cellulitis Treatment in Penicillin Allergy