Abscess management:

2,5 cm should be drained (aspirated or operated) and cultured, NATIVE PUS + transport material, Focus of origin shoud be seeked and cultured (and drained ifneeded). In case of elevated ICP steroid shoud be given. Empiric 1: ear toot paransal: metronidazole + ceftriaxon(2-8W) Empiric 2: hematogenous: metronidazole + ceftriaxon + vanc—> Flucloxacillin Empiric 3: postoperative: vanco—> flucloxa + Ceftazidim or Cefepime or Meropenem (anti pseudomonas)