flucloxacillin for infected rash on willy, yes or no?

[littlefrog]

I've posted here before about DS's various rashes and infected rashes. DH has sensitive skin and eczema, and DS seems to have inherited this (though so far no eczema).

Basically, he's had a series of rashes and infected spots, that have been cleared up with Nystaform before. Lately he's had another bit: two nasty spots on his foreskin (I think, hard to see exactly), and another on his scrotum. They've not been clearing with the Nystaform or with Fucidin.

Saw a locum GP today, who didn't really listen to my repeatedly saying that the Nystaform hadn't been working, and has represcribed that, plus flucloxacillin.

I don't like the idea of oral a/bs unless absolutely essential. Are they in this case? The spots have been hurting DS quite a bit, he keeps saying they are 'sore', so I do have to do something... What do people advise? This isn't simple nappy rash - he's half potty trained now, so isn't sitting in a wet nappy all that much (still at night though).

It is difficult to say without seeing the rash so be guided by the GP who has, but, fluclox is a reasonable antibiotic to be given for a skin infection.
And it sounds like the topical treatments aren't working, hence the step up to oral antibiotics, plus the rash sounds like it is getting worse.
Overall sounds reasonable treatment (without seeing the rash)

We had a similar issue with DS recently and the oral antibiotics - cleared it up very quickly and I think it was the right treatment TBH.

It's not getting worse, it's actually much smaller than it was in the summer (a different episode), but it's nasty, and the sores look quite deep. They're small, open, with sort of pusy (sp?) centres. I just worried that the dr was a bit a/b-happy (he wasn't a listener...)

I would have been tempted to have taken the next step onto oral antibiotics just from your history.
If you are worried why not see someone else tomorrow

have just read the label and it says take BEFORE food or on an empty stomach - leave to start till tomorrow (he's just had tea) or give it to him now?

"What do people advise? "

As oppose to a GP that spend more than 7 years training medicine...

DS was presecribed fluxocillin (sp) for impetigo. It cleared up the impetigo, but infortunately he was allergic to it and he kept on having hot/cold sweats.
Doctor did change the antibiotics, but can't remember what to.

I found the fucidin very good, and you may also be able to help him by putting some tea tree oil in his bath, this certainly helped my DS's impetigo.

I'm with SpacePuppy here, why go and see your GP if you are not prepared to take his advice?

I would def start them, the rash sounds very sore and the sooner they are cleared up the better.

flucloxacillin is the a/b of choice for skin infections. Be warned though it apparently tastes very nasty. dd has had it a couple of times when her eczema type rashes have got nasty. It does seem pretty effective. Make sure you use the whole course though. I'm not sure why you think the doctor didn't listen to you. You said Nystaform wasn't enough, and he said use a/bs too. Seems a sensible approach.

well, I thought he didn't listen because I said nystaform DIDN'T work and he went and prescribed it again anyway!

The reason for posting here and asking for advice is to see what other folk have done in similar circumstances - so far the consensus is that a/bs might well help, as they've helped other people's DCs. That's helpful.

And of course GPs have trained for years, and they know FAR more than me about medical stuff. However when I've had dermatological problems, GPs have been CRAP! One told me I had a wart when I had a strange fluid-filled blister; another said I had a verucca and when I queried this took a knife to it and a worm poked its little head out. So I do take their advice with a pinch of salt.