Pediatric antibiotics - Revision history

Danbot: Strip excess bold

2026-03-22T09:13:51Z

Strip excess bold

← Older revision		Revision as of 09:13, 22 March 2026
Line 150:		Line 150:

	==[[Otitis Media]]==		==[[Otitis Media]]==
	~~'''~~Note: ~~'''~~If >2 years, afebrile, no otalgia, borderline exam → consider symptomatic treatment or safety net antibiotic prescription (SNAP).		Note: If >2 years, afebrile, no otalgia, borderline exam → consider symptomatic treatment or safety net antibiotic prescription (SNAP).

	#[[Amoxicillin]] 80-90mg/kg/day div BID or TID x10 days (<2 years) or x5 days (>2 years).		#[[Amoxicillin]] 80-90mg/kg/day div BID or TID x10 days (<2 years) or x5 days (>2 years).
Line 193:		Line 193:
	==Cardiovascular Infections==		==Cardiovascular Infections==
	===[[Endocarditis]]===		===[[Endocarditis]]===
	~~'''~~Prophylaxis indications~~'''~~		Prophylaxis indications
	Prosthetic cardiac valve or prosthetic material used for cardiac valve repair.		Prosthetic cardiac valve or prosthetic material used for cardiac valve repair.

Line 206:		Line 206:
	Cardiac transplantation recipients who develop cardiac valvulopathy.		Cardiac transplantation recipients who develop cardiac valvulopathy.

	~~'''~~Prophylaxis for oral, dental, respiratory tract or high risk patients with chronic GI/GU infections ~~'''~~		Prophylaxis for oral, dental, respiratory tract or high risk patients with chronic GI/GU infections
	#[[Amoxicillin]] 50mg/kg PO x1 OR Ampicillin 50mg/kg IV x1, 30-60 minutes prior to the procedure.		#[[Amoxicillin]] 50mg/kg PO x1 OR Ampicillin 50mg/kg IV x1, 30-60 minutes prior to the procedure.
	#Allergic patients: [[Clindamycin]] 20mg/kg PO/IV x1 OR [[cephalexin]] 50mg/kg PO x1 OR [[azithromycin]] 15mg/kg PO x1.		#Allergic patients: [[Clindamycin]] 20mg/kg PO/IV x1 OR [[cephalexin]] 50mg/kg PO x1 OR [[azithromycin]] 15mg/kg PO x1.

	~~'''~~Empiric therapy, native valves: S. viridans, Enterococci, Staphylococci~~'''~~		Empiric therapy, native valves: S. viridans, Enterococci, Staphylococci

	By definition includes multiple positive [[blood cultures]], new murmur of valvular insufficiency, emboli and echo evidence of vegetations. Send cultures and target therapy based on results. [[Vancomycin]] and Gentamicin pending culture results.		By definition includes multiple positive [[blood cultures]], new murmur of valvular insufficiency, emboli and echo evidence of vegetations. Send cultures and target therapy based on results. [[Vancomycin]] and Gentamicin pending culture results.
Line 294:		Line 294:

	===[[UTI]]===		===[[UTI]]===
	~~'''~~Inpatient: ~~'''~~>2 months: [[cefotaxime]] or [[ceftriaxone]] until taking PO, well appearing → transition to outpatient therapy.		Inpatient: >2 months: [[cefotaxime]] or [[ceftriaxone]] until taking PO, well appearing → transition to outpatient therapy.

	~~'''~~Outpatient: ~~'''~~(Infants and Children): [[TMP-SMX]] 6-10mg/kg/day TMP component div BID OR [[cefixime]] 16mg/kg/day x1 day, then 8mg/kg/day Q24 (max 400mg/dose) OR [[cephalexin]] 25mg/kg/dose QID (max 1000mg/dose) x7-14 days. Alternatives: [[nitrofurantoin]], [[ciprofloxacin]], [[ceftriaxone]]. <br>		Outpatient: (Infants and Children): [[TMP-SMX]] 6-10mg/kg/day TMP component div BID OR [[cefixime]] 16mg/kg/day x1 day, then 8mg/kg/day Q24 (max 400mg/dose) OR [[cephalexin]] 25mg/kg/dose QID (max 1000mg/dose) x7-14 days. Alternatives: [[nitrofurantoin]], [[ciprofloxacin]], [[ceftriaxone]]. <br>

	==Skin & Soft Tissue Infections<br>==		==Skin & Soft Tissue Infections<br>==
	===Skin [[abscess]]===		===Skin [[abscess]]===
	*OSSA/MSSA - [[Cephalexin]] 50-75mg/kg/day PO div TID OR [[Augmentin]] 80-90mg/kg/day PO div BID x5-7 days. ~~'''~~I&D when indicated.~~'''~~<br>		*OSSA/MSSA - [[Cephalexin]] 50-75mg/kg/day PO div TID OR [[Augmentin]] 80-90mg/kg/day PO div BID x5-7 days. I&D when indicated.<br>
	*If MRSA prevalent or if recurrent abscess, send specimen for culture and sensitivity. Treat with [[clindamycin]] 40mg/kg/day IV div Q6 or [[TMP-SMX]] 5mg/kg/dose TMP Q6-8. If toxic-appearing, use [[vancomycin]].		*If MRSA prevalent or if recurrent abscess, send specimen for culture and sensitivity. Treat with [[clindamycin]] 40mg/kg/day IV div Q6 or [[TMP-SMX]] 5mg/kg/dose TMP Q6-8. If toxic-appearing, use [[vancomycin]].

Cdichang at 23:07, 16 May 2020

2020-05-16T23:07:21Z

← Older revision		Revision as of 23:07, 16 May 2020
Line 1:		Line 1:
	= Neonatal Infections=		==Neonatal Infections==
	*All doses are for patients >2 kg and at least 7 days of age		*All doses are for patients >2 kg and at least 7 days of age
	*Always treat for meningitis until you are sure it is not		*Always treat for meningitis until you are sure it is not

	==[[Pediatric fever of uncertain source]]==		===[[Pediatric fever of uncertain source]]===
	===Neonatal (0-28 days)===		===Neonatal (0-28 days)===
	{{Pediatric fever antibiotics 0-28)}}		{{Pediatric fever antibiotics 0-28)}}

Cdichang: /* Tinea capitis */

2020-05-16T09:04:51Z

Tinea capitis

← Older revision		Revision as of 09:04, 16 May 2020
Line 334:		Line 334:

	===[[Tinea capitis]]===		===[[Tinea capitis]]===
	[[Griseofulvin]] Microsize 10-20mg/kg/day div Q12-24 (max 1000mg/day) OR [[Griseofulvin]] Ultramicrosize >2 years 5-10mg/kg/day div Q12-24 x6 weeks] AND [[Selenium sulfide]] shampoo twice weekly x1 week as directed.		*[[Griseofulvin]] Microsize 10-20mg/kg/day div Q12-24 (max 1000mg/day) OR [[Griseofulvin]] Ultramicrosize >2 years 5-10mg/kg/day div Q12-24 x6 weeks] AND [[Selenium sulfide]] shampoo twice weekly x1 week as directed.

	===[[Necrotizing Fasciitis]]===		===[[Necrotizing Fasciitis]]===

Cdichang: /* Tinea corporis */

2020-05-16T09:04:27Z

Tinea corporis

← Older revision		Revision as of 09:04, 16 May 2020
Line 331:		Line 331:

	===[[Tinea corporis]]===		===[[Tinea corporis]]===
	May use one of many topical antifungal agents: [[Terbinafine]] 1% cream or gel BID to affected areas; [[clotrimazole]] 1% cream, lotion or solution; others include Econazole, Sulconazole, Oxiconazole, Naftifine, Cicloprox, Ketoconazole, Sertaconazle, Moconazole and Tolnaftate. Treat for 14 days. Keep affected areas dry.<br>		*May use one of many topical antifungal agents: [[Terbinafine]] 1% cream or gel BID to affected areas; [[clotrimazole]] 1% cream, lotion or solution; others include Econazole, Sulconazole, Oxiconazole, Naftifine, Cicloprox, Ketoconazole, Sertaconazle, Moconazole and Tolnaftate. Treat for 14 days. Keep affected areas dry.<br>

	===[[Tinea capitis]]===		===[[Tinea capitis]]===

Cdichang: /* Omphalitis/Funisitis */

2020-05-16T09:04:07Z

Omphalitis/Funisitis

← Older revision		Revision as of 09:04, 16 May 2020
Line 315:		Line 315:

	===Omphalitis/Funisitis===		===Omphalitis/Funisitis===
	Empiric: [[Cefotaxime]] AND [[clindamycin]] x10 or more days.		*Empiric: [[Cefotaxime]] AND [[clindamycin]] x10 or more days.

	Funisitis (local infection of cord): cord care, topical antimicrobials.		*Funisitis (local infection of cord): cord care, topical antimicrobials.

	===[[Paronychia]]===		===[[Paronychia]]===

Cdichang: /* Erysipelas */

2020-05-16T09:03:44Z

Erysipelas

← Older revision		Revision as of 09:03, 16 May 2020
Line 309:		Line 309:

	===[[Erysipelas]]===		===[[Erysipelas]]===
	[[Penicillin G]] IV, then transition to [[penicillin]] V or [[amoxicillin]] PO;x10 days.<br>		*[[Penicillin G]] IV, then transition to [[penicillin]] V or [[amoxicillin]] PO;x10 days.<br>

	===[[Impetigo]]===		===[[Impetigo]]===

Cdichang: /* Cellulitis */

2020-05-16T09:03:23Z

Cellulitis

← Older revision		Revision as of 09:03, 16 May 2020
Line 304:		Line 304:

	===[[Cellulitis]]===		===[[Cellulitis]]===
	Start IV: [[Clindamycin]] 40mg/kg/day IV div Q6 if high community incidence of MRSA. May use [[nafcillin]] 200mg/kg/day IV div Q6 OR [[cefazolin]] 100mg/kg/day IV div Q8 if low incidence of MRSA. Transition to PO when stable. If no improvement, change to [[vancomycin]] (dose by age).		*Start IV: [[Clindamycin]] 40mg/kg/day IV div Q6 if high community incidence of MRSA. May use [[nafcillin]] 200mg/kg/day IV div Q6 OR [[cefazolin]] 100mg/kg/day IV div Q8 if low incidence of MRSA. Transition to PO when stable. If no improvement, change to [[vancomycin]] (dose by age).

	PO: [[Cephalexin]] 50-75mg/kg/day divided TID OR [[dicloxacillin]] 50mg/kg/day PO div Q6. Total duration of treatment 7-10 days.		*PO: [[Cephalexin]] 50-75mg/kg/day divided TID OR [[dicloxacillin]] 50mg/kg/day PO div Q6. Total duration of treatment 7-10 days.

	===[[Erysipelas]]===		===[[Erysipelas]]===

Cdichang: /* Orbital Cellulitis */

2020-05-16T09:02:37Z

Orbital Cellulitis

← Older revision		Revision as of 09:02, 16 May 2020
Line 138:		Line 138:

	==[[Orbital Cellulitis]]==		==[[Orbital Cellulitis]]==
	[[Ampicillin-sulbactam]] 300mg/kg/day IV div Q6 OR [[cefotaxime]] 150mg/kg/day div Q8 OR [[ceftriaxone]] 50mg/kg/day Q24 AND [[nafcillin]] 200mg/kg/day IV div Q6. If any MRSA isolated locally, add [[clindamycin]] 40mg/kg/day IV div Q6 OR [[vancomycin]] x10-14 days.		*[[Ampicillin-sulbactam]] 300mg/kg/day IV div Q6 OR [[cefotaxime]] 150mg/kg/day div Q8 OR [[ceftriaxone]] 50mg/kg/day Q24 AND [[nafcillin]] 200mg/kg/day IV div Q6. If any MRSA isolated locally, add [[clindamycin]] 40mg/kg/day IV div Q6 OR [[vancomycin]] x10-14 days.

	==[[Periorbital Cellulitis\|Periorbital (preseptal) Cellulitis]]==		==[[Periorbital Cellulitis\|Periorbital (preseptal) Cellulitis]]==

Cdichang: /* Dacryocystitis */

2020-05-16T09:02:14Z

Dacryocystitis

← Older revision		Revision as of 09:02, 16 May 2020
Line 135:		Line 135:

	==[[Dacryocystitis ]]==		==[[Dacryocystitis ]]==
	Warm compresses and tear duct massage. No antimicrobial therapy usually needed. Oral antimicrobial therapy for more symptomatic infections.		*Warm compresses and tear duct massage. No antimicrobial therapy usually needed. Oral antimicrobial therapy for more symptomatic infections

	==[[Orbital Cellulitis]]==		==[[Orbital Cellulitis]]==

Cdichang: /* Gingivostomatitis */

2020-05-16T09:01:37Z

Gingivostomatitis

← Older revision		Revision as of 09:01, 16 May 2020
Line 167:		Line 167:

	==[[Gingivostomatitis]]==		==[[Gingivostomatitis]]==
	[[Acyclovir]] PO 80mg/kg/day div Q6 x7 days. For severe disease can use Acyclovir 30mg/kg/day IV div Q8.		*[[Acyclovir]] PO 80mg/kg/day div Q6 x7 days. For severe disease can use Acyclovir 30mg/kg/day IV div Q8.

	==[[Bacterial tracheitis]]==		==[[Bacterial tracheitis]]==