Early and aggressive surgical debridement of all necrotic tissue is essential.
(Group A β-hemolytic streptococci)
Treat as severe, non-purulent SSTI until C&S confirmation
Treatment of Severe SSTI
Penicillin G Dosing
Intravenous treatment until further debridement no longer necessary and has improved clinically and fever has been absent for 48–72 hours.
Stepdown and total duration of therapy based on clinical progression.