• Adverse event rates
• Bacteriologic cure rates
• Patient reported outcomes

The purpose of this study is to compare the efficacy and tolerability of cefdinir to that of cephalexin in patients with mild to moderate uncomplicated skin/skin structure infections.

• Drug: cefdinir
• Drug: cephalexin

Inclusion Criteria:

• Ambulatory male or female subjects > 13 years old.
• A female subject must be non-lactating and at no risk for pregnancy.

• Diagnosis of USSSI with 2 or more of the following local signs and symptoms:

  • Pain/tenderness
  • Swelling
  • Erythema
  • Localized warmth
  • Purulent drainage/discharge
  • Induration
  • Regional lymph node swelling or tenderness
  • Extension of redness

• Acceptable USSSI include, but are not limited to:

  • Cellulitis
  • Erysipelas
  • Impetigo
  • Simple abscess
  • Wound infection
  • Furunculosis
  • Folliculitis
• A sample for microbiologic culture must be obtained from the primary infection site within 48 hours prior to study drug administration.

Exclusion Criteria

• Medical history of hypersensitivity or allergic reaction to penicillin and/or cephalosporin (including cefdinir and cephalexin) antibiotics according to the judgment of the Investigator.
• Subject with a complicated skin and skin structure infection as judged by the investigator.
• A chronic or underlying skin condition at the site of infection (e.g., a secondary infected atopic dermatitis or eczema) or infections involving prosthetic materials (e.g., catheter tunnel infections, orthopedic hardware).
• A wound secondary to burn injury or acne vulgaris.

• Any infection site that requires:

  • intraoperative surgical debridement;
  • excision of infected lesions or body parts.
• Infections that can be treated by surgical incision alone according to the judgment of the Investigator.
• Any other infection that necessitates the use of additional concomitant oral or parenteral antibiotic therapy.

• Known significant renal or hepatic impairment indicated by:

  • Serum Creatinine > 2.0 mg/dL (176.8 mol/L)
  • SGOT (AST) > 3x the upper limit of the reference range
  • SGPT (ALT) > 3x the upper limit of the reference range
  • Alkaline Phosphatase > 2x the upper limit of the reference range
  • Total Bilirubin > 2x the upper limit of the reference range
• Underlying condition and/or disease that, according to the judgment of the Investigator, would be likely to interfere with completion of the course of study drug therapy or follow-up.
• The Investigator considers the subject an unsuitable candidate for cefdinir or cephalexin administration