Is Bactrim DS 800-160 the proper antibiotic for a postop incision infection? (Photo)

I had bladder suspension surgery and the surgeon attempted to do it robotically but couldn't get through adhesions from previous surgeries so he had to open me up. I started running a fever off 100.3 within 18 hrs then up to 100.9 within 24 hrs. I was given 2 doses IV antibiotic fever went away. Discharged the next day and the day following discharge put on the Bactrim DS 800-160. Necrosis? Cellulitis?

Doctor Answers 11

Infection after bladder suspension

You do not say how long it was since the discharge and treatment.  This is something that should be closely followed by in-person care from your surgeon.  Looking at the images, the red streak may be related to a dressing and the tissue doesn't look necrotic.  There is cellulitis.  Continue taking the antibiotics you have been prescribed and follow all other instructions from your doctor.  Best to you.


Palm Beach Plastic Surgeon
4.1 out of 5 stars 43 reviews

Is Bactrim DS 800-160 the proper antibiotic for a postop incision infection?

Your questions are about your bladder suspension surgery.  You need to contact your surgeon and voice your concerns about your antibiotics, etc.  The redness of your vertical incision could be due to cellulitis, or a reaction to the adhesive of the dressing.  A physical exam is needed in order to diagnose and treat you correctly.   Contact your surgeon for an appoiintment to be seen.  Best wishes. 

Jeanette Padgett, MD, FACS
Oklahoma City Plastic Surgeon
5.0 out of 5 stars 9 reviews

Antibiotic coverage

Your surgeon has likely selected an antibiotic which is most likely to cover your infection.  Bactrim is frequently used to cover wound infections and skin infections.  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 16 reviews

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Choice of antibiotic with wound infection

The choice of antibiotic with surgical site infection is dependent initially on the suspected organism (most likely organism) and your specific allergies to medications.  Bactrim in my practice is a good option for outpatient management because it covers staph which tends to be the cause of many wound infections.  
If cultures of wounds, blood, etc show a specific organism sensitive to certain antibiotics, then the medication can be tailored at that time.  
Antibiotic choice would change if admitted for IV antibiotic.  Best to check with your surgeon and allow him/her to evaluate you.

W. Bryant Walker, MD
Jackson Physician
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Is Bactrim DS 800-160 the proper antibiotic for a postop incision infection?

That is more a question for your surgical team of doctors! Also depends upon the organism and sensitivities and your potential allergies. 

Is Bactrim DS 800-160 the proper antibiotic for a postop incision infection?

Thank you for your question and I am sorry to hear of your ob/gyn surgery issues. I do hope that you get better quickly.  Though Bactrim DS can cover many of the organisms responsible for a skin infection, it would be best that you see your surgeon for an in-person examination.  Though red and irritated, much of your central skin appears to have a large component of irritation, possibly with a super-imposed infection. Evaluate and record what adhesives, dressings, ointments, creams, etc where applied to your middle incision that was not placed to your others, this may lead you in the right direction.  Best wishes!

Nelson Castillo, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 43 reviews

Is Bactrim DS 800-160 the proper antibiotic for a postop incision infection?

I'm sorry to hear about your post op problem.  From your photos, you may have a post op infection/cellulitis; however, you may be having an allergic reaction to the Bactrim DS 800-160 and/or a contact dermatitis from some topical ointment or dressing you are using.  Let your surgeon know about this problem immediately.  They may want to change the antibiotics or topical medications you are presently using.  Best wishes, Dr. Lepore.

Vincent D. Lepore, MD
San Jose Plastic Surgeon
4.9 out of 5 stars 50 reviews

Tummy Tuck / Abdominoplasty / Liposuction / Mommy Makeover / Reverse Abdominoplasty

I appreciate your question.

You need to discuss this with your operating surgeon.  Please follow up with your operating surgeon so he/she can examine you and recommend the most appropriate treatment plan at this time.

The best way to assess and give true advice would be an in-person exam.
Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.

Best of luck!

Dr. Schwartz

Is Bactrim DS 800-160 the proper antibiotic for a postop incision infection?

Best to see your operating surgeon in person so he can better assess the need for additional, stronger antibiotics. Remember that infections can grow in severity very quickly so you need to follow up with your operating surgeon on a frequent basis to stay on top of it. Good luck!

Infection

Make sure you follow all the instructions of your surgeon.  The area has some characteristics of a fungal infection.

John Burns, MD
Dallas Plastic Surgeon
4.6 out of 5 stars 33 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.