Infection Initial antibiotics ( ) = maximum dose CENTRAL NERVOUS SYSTEM / EYE Encephalitis SA (m2) ht (cm) x wt (kg) Meningitis add Benzylpenicillin 60 mg/kg iv 12H (wk 1 of l fe) 6-8H (wk 2-4 of life) 4H (>wk 4 of life) and Gentamicin Meningococc prophylaxis Rifampicin 10 mg/kg (600 mg) po 12H for 2d Orbital cellulitis
Flucloxacillin 50 mg/kg (2 g) iv 6H and Cefotaxime 50 mg/kg (2 g) iv 6H Periorbital cellulitis
Mild: Amoxycillin/Clavulanate (400/57 mg per 5 mL)
Severe, or <5y + not Hib imm: As for orbital cellulitis above CARDIOVASCULAR Endocarditis prophylaxis Amoxycillin 50 mg/kg (2 g)
po 1 hr before LA, or iv with GA induction GASTROINTEST NAL Peritonitis
Ampicillin or Amoxycil in 50 mg/kg (2 g) iv 6H and Gent 7.5 (6 if >10y) mg/kg (360 mg) iv daily and Metronidazole 15 mg/kg (1 g) iv stat, then 7.5 mg/kg (500 mg) iv 8H Giardiasis
Metronidazole 30 mg/kg (2 g) po daily for 3d
GENITOURINARY
Benzylpenicillin 60 mg/kg (2 g) iv 6H and
Gent 7.5 (6 if >10y) mg/kg (360 mg) iv daily
not sick: Trimethoprim 4 mg/kg (150 mg) po 12H or
(8/40 mg per mL) 0.5 mL/kg (20 mL) po 12H
UTI prophylaxis
Trimethoprim or Co-trimoxazole at half treatment doses above, once daily RESP RATORY Tonsillitis
Consider no antibiotics (particularly if <4y) or Penicillin V 250 (500 if >10y) mg po 12H for 10d Otitis media
Consider no antibiotics for 48 hrs (if >2y) or Amoxycillin 15 mg/kg (500 mg) po 8H Pertussis
Erythromycin 12.5 mg/kg (500 mg) po 6H for 14d or
Clarithromycin 7.5 mg/kg (500 mg) po 12H for 7d
Pneumonia
Mild: Amoxycillin 15 mg/kg (500 mg) po 8H or
Benzylpenicillin 60 mg/kg (2 g) iv 6H and
Flucloxacillin 50 mg/kg (2 g) iv 4H and
Gent 7.5 (6 if >10y) mg/kg (360 mg) iv daily and
Consider Azithromycin* 15 mg/kg (500 mg) iv
stat, then 5 mg/kg (200 mg) iv daily SKIN / SOFT TISSUE / BONE Adenitis
Mild: Amoxycillin/Clavulanate (400/57 mg per 5 mL)
Severe: Ticarcillin/Clavulanate 50 mg/kg (3 g) iv 6H Cellulitis
Mild: Cephalexin 25 mg/kg (500 mg) po 6H
Impetigo
Mupirocin 2% ointment 8H if localised or Cephalexin 25 mg/kg (500 mg) po 12H Head lice Osteomyelitis/Septic arthr Flucloxacillin 50 mg/kg (2 g) iv 4-6H
<5y + not Hib imm: add Cefotaxime 50 mg/kg (2 g) iv 6-8H SEPTICAEMIA Septicaemia Normal CSF: Flucloxacillin 50 mg/kg (2 g) iv 4H and (ie sick child)
Gent 7.5 (6 if >10y) mg/kg (360 mg) iv daily
Unknown CSF: Flucloxacillin 50 mg/kg (2 g) iv 4H and replace Flucloxacillin above with
or with suspected MRSA: Vancomycin 15 mg/kg (500 mg) iv 6H
• Assist provider decision-making for the treatment of hyperglycemia in patients with type 2 diabetes. • Serves as a recommended pathway for treating hyperglycemia. • Encourages rapidly adding additional therapy if the patient does not achieve A1C goal Creation • Created by a collaborative group of physicians, pharmacists and diabetes educators working to improve • Based on recomme
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