Template:Pediatric pneumonia treatment

Newborn

• Hospitalized
  • Ampicillin 80-90mg/kg/day + Gentamicin +/- Cefotaxime
    • Add vancomycin if MRSA a concern
    • Add erythromycin (12.g mg/kg QID) if concern for chlamydia
• Outpatient
  • Initial outpatient management not recommended

1-3 Month

• Hospitalized
  • Afebrile pneumonitis
    • Erythromycin 10mg/kg q6hrs or Azithromycin 2.5mg/kg q12hrs
  • Febrile pneumonia
    • Add Cefotaxime 200mg/kg/day div q8hrs
• Outpatient
  • Erythromycin OR Azithromycin PO

>3mo - 18 years

• Hospitalized (PICU/severely ill)
  • Cefepime 50mg/kg/dose q8hrs IV, AND
  • Vancomycin 15mg/kg/dose q6hrs IV, AND
  • Consider coverage for anaerobes if strong concern for aspiration
• Hospitalized (moderately ill)
  • Fully immunized: Ampicillin (50mg/kg/DOSE q6) IV (max: 2 g/DOSE)
  • Not fully immunized: Ceftriaxone 50mg/kg/day q24hrs IV (max 2g/dose)
• Outpatient
  • Amoxicillin 45mg/kg/dose BID x 5-7 days PO
    • Some studies have shown that 5 day course may also be adequate treatment
  • Alternative: Clindamycin OR Azithromycin OR Amoxicillin-clavulanate