What is the duration of Keflex (cephalexin) treatment for non-septic bursitis?

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From the Research

The typical duration of Keflex (cephalexin) treatment for non-septic bursitis is 7 to 10 days, with a 7-day course often sufficient for most uncomplicated cases, as supported by the most recent and highest quality study available 1. When considering the treatment of non-septic bursitis with Keflex, it's essential to prioritize the patient's morbidity, mortality, and quality of life. The standard adult dosage of Keflex is typically 500 mg taken orally four times daily (every 6 hours), though this may be adjusted based on severity and patient factors.

  • Key considerations in the treatment of non-septic bursitis include:
    • Completing the entire prescribed course of antibiotics, even if symptoms improve before the medication is finished
    • Staying well-hydrated and taking the medication with food if stomach upset occurs
    • Using cephalexin, which works by inhibiting bacterial cell wall synthesis, effective against common causative organisms in bursitis, particularly Staphylococcus aureus
    • Incorporating rest, ice application, compression, and elevation of the affected area into the treatment plan
    • Seeking medical reevaluation if symptoms worsen or don't improve after 48-72 hours of treatment, as this may indicate septic bursitis requiring more aggressive intervention, as noted in studies such as 2 and 3. It's also important to note that while the provided studies offer valuable insights into the management of bursitis, the most recent and highest quality study 1 provides the most relevant guidance for the treatment of non-septic bursitis with Keflex.

References

Research

Efficacy of empiric antibiotic management of septic olecranon bursitis without bursal aspiration in emergency department patients.

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2022

Research

Four common types of bursitis: diagnosis and management.

The Journal of the American Academy of Orthopaedic Surgeons, 2011

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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