Staphylococcal Scalded Skin Syndrome
Description General and supportive measures Medicine treatment Referral ICD-10 Code: L00 DESCRIPTION Blistering skin condition that presents like scalded skin. GENERAL AND SUPPORTIVE MEASURES Appropriate wound care. MEDICINE TREATMENT Cloxacillin, IV, 50 mg/kg/dose 6 hourly for 5 days. Neonates: Week 1–2 of age: administer 12 hour
General and supportive measures
ICD-10 Code: L00
DESCRIPTION
Blistering skin condition that presents like scalded skin.
GENERAL AND SUPPORTIVE MEASURES
- Appropriate wound care.
MEDICINE TREATMENT
- Cloxacillin, IV, 50 mg/kg/dose 6 hourly for 5 days.
- Neonates:
Week 1–2 of age: administer 12 hourly.
Week 2–4 of age: administer 8 hourly.
OR
- Cephalexin, oral, 25 mg/kg/dose 6 hourly for 7 days.
Where weight is unknown:
- Child < 2 years: 125 mg.
- Child 2–10 years: 250 mg.
- > 10 years: 500 mg.
OR
- Flucloxacillin, oral, 25 mg/kg/dose 6 hourly for 7 days.
Penicillin allergy:
- Clindamycin, oral, 6 mg/kg/dose, 6 hourly for 10 days.
For pain:
See Pain Control, Management of pain.
REFERRAL
- Recalcitrant cases.
Standard Treatment Guidelines And Essential Medicines List For South Africa, Hospital Level, Paediatrics, 2023 Edition
Chapter 5: Dermatology, 5.1 Bullae, 5.1.2 Staphylococcal Scalded Skin Syndrome