{
  "schema_version": 1,
  "kind": "condition",
  "id": "felon-finger-infection",
  "name": "Pulp Space Infection of the Finger or Thumb (Felon)",
  "category": "infectious",
  "sources": "Egyptian National Drug Formulary - antimicrobial-2023.pdf, Flucloxacillin monograph (chapter PDF p361) · Nardi NM, McDonald EJ, Syed HA, Schaefer TJ. Felon. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; last update April 30, 2024.",
  "review_status": "reviewed",
  "verified_against": "Egyptian National Drug Formulary - antimicrobial-2023.pdf, Flucloxacillin monograph (chapter PDF p361)",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 752,
      "generic": "Flucloxacillin",
      "line": 1,
      "is_adjunct": false,
      "form": "oral.solid",
      "strength_mg": null,
      "adult_dose": "250 mg orally (or by intramuscular injection) four times daily; the dose may be doubled for a severe infection.",
      "adult_duration": "As directed (formulary gives no fixed course length for this dose; a short course, e.g. 5-7 days, is typical clinical practice, reviewed against response).",
      "dose_source": "Egyptian National Drug Formulary - antimicrobial-2023.pdf, Flucloxacillin monograph (chapter PDF p361)",
      "rationale": "A felon is a closed-space staphylococcal soft-tissue infection, matching flucloxacillin's formulary indication for staphylococcal skin and soft-tissue infections; oral therapy is appropriate for early, non-fluctuant disease.",
      "cautions": [
        "Penicillin allergy is a contraindication - ask about prior reactions before prescribing.",
        "A tense, fluctuant felon needs incision and drainage referral; antibiotics alone will not resolve a closed abscess and delay risks pulp necrosis.",
        "Spreading redness up the finger or hand suggests tenosynovitis or cellulitis and needs urgent reassessment.",
        "Diabetic or immunocompromised patients have a higher risk of rapid spread and a lower threshold for referral.",
        "Rare but serious cholestatic jaundice/hepatitis can occur, more often with longer courses and in older patients - warn to stop and seek review if jaundice develops."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Paediatric dosing is specialist-set and is not reproduced here.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [
        {
          "trade_name": "FLUMOCIN 250MG 12CAPS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "UP PHARMA",
          "price_egp": 6.2,
          "pack_count": 12,
          "unit_price": 0.52,
          "strength_mg": 250.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": "amoxicillin"
        },
        {
          "trade_name": "AMOFLUX 125/125MG 12 CAPS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "RAMEDA > DELTA PHARMA",
          "price_egp": 8.25,
          "pack_count": 12,
          "unit_price": 0.69,
          "strength_mg": 125.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": "amoxicillin"
        },
        {
          "trade_name": "FLUCAMOX 250MG 12CAPS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "SEDICO",
          "price_egp": 8.25,
          "pack_count": 12,
          "unit_price": 0.69,
          "strength_mg": 250.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": "amoxicillin"
        },
        {
          "trade_name": "FLUMOCIN 500MG 8 CAPS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "UP PHARMA",
          "price_egp": 6.0,
          "pack_count": 8,
          "unit_price": 0.75,
          "strength_mg": 500.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": "amoxicillin"
        },
        {
          "trade_name": "CURAFLUX 125/125 MG 12 CAPS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "RAMEDA > PIONEER",
          "price_egp": 12.5,
          "pack_count": 12,
          "unit_price": 1.04,
          "strength_mg": 125.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": "amoxicillin"
        },
        {
          "trade_name": "AMOFLUX 250/250MG 16 CAPS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "RAMEDA > PIONEER",
          "price_egp": 18.0,
          "pack_count": 16,
          "unit_price": 1.12,
          "strength_mg": 250.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": "amoxicillin"
        },
        {
          "trade_name": "HI-FLUCIL 250/250MG 16 CAPS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "CID",
          "price_egp": 20.0,
          "pack_count": 16,
          "unit_price": 1.25,
          "strength_mg": 250.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": "amoxicillin"
        },
        {
          "trade_name": "AMPIFLUX 500 MG 12 CAPS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "PHARCO",
          "price_egp": 16.0,
          "pack_count": 12,
          "unit_price": 1.33,
          "strength_mg": 500.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": "ampicillin"
        }
      ],
      "condition_id": "felon-finger-infection"
    }
  ]
}