Prompt evaluation by ENT for possible drainage is recommended
+/-
Add cloxacillin if no improvement with clindamycin in 24-48 hours
If Failed 1st-Line Treatment, Severe Beta-Lactam Allergy, MRSA Risk Factors, or Severe Disease
PLUS
If Failed 1st-Line Treatment, Severe Beta-Lactam Allergy, MRSA Risk Factors, or Severe Disease