Template:Pediatric pneumonia treatment: Difference between revisions
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===Newborn=== | ===Newborn=== | ||
*Hospitalized | *Hospitalized<ref>Sanford Guide to Antimicrobial Therapy 2014</ref> | ||
**[[Ampicillin]] (80-90mg/kg/day) + [[gentamicin]] +/- [[cefotaxime]] | **[[Ampicillin]] (80-90mg/kg/day) + [[gentamicin]] +/- [[cefotaxime]] | ||
***Add [[vancomycin]] if [[MRSA]] a concern | ***Add [[vancomycin]] if [[MRSA]] a concern | ||
***Add [[erythromycin]] (12.g mg/kg QID) if concern for [[chlamydia]] | ***Add [[erythromycin]] (12.g mg/kg QID) if concern for [[chlamydia]] | ||
*Outpatient | *Outpatient<ref>Sanford Guide to Antimicrobial Therapy 2014</ref> | ||
**Initial outpatient management not recommended | **Initial outpatient management not recommended | ||
===1-3 Month=== | ===1-3 Month=== | ||
*Hospitalized | *Hospitalized<ref>Sanford Guide to Antimicrobial Therapy 2014</ref> | ||
**Afebrile pneumonitis | **Afebrile pneumonitis | ||
***[[Erythromycin]] (10 mg/kg q6) or [[Azithromycin]] (2.5 mg/kg q12) | ***[[Erythromycin]] (10 mg/kg q6) or [[Azithromycin]] (2.5 mg/kg q12) | ||
**Febrile pneumonia | **Febrile pneumonia | ||
***Add [[Cefotaxime]] (200mg/kg per day divided q8h) | ***Add [[Cefotaxime]] (200mg/kg per day divided q8h) | ||
*Outpatient | *Outpatient<ref>Sanford Guide to Antimicrobial Therapy 2014</ref> | ||
**[[Erythromycin]] OR [[Azithromycin]] PO | **[[Erythromycin]] OR [[Azithromycin]] PO | ||
===>3mo - 18 years=== | ===>3mo - 18 years=== | ||
*Hospitalized (PICU/severely ill) | *Hospitalized (PICU/severely ill)<ref>Sanford Guide to Antimicrobial Therapy 2014</ref> | ||
**[[Ceftriaxone]] IV AND [[Vancomycin]] AND consider [[Azithromycin]] | **[[Ceftriaxone]] IV AND [[Vancomycin]] AND consider [[Azithromycin]] | ||
*Hospitalized (moderately ill) | *Hospitalized (moderately ill)<ref>Sanford Guide to Antimicrobial Therapy 2014</ref> | ||
**Fully immunized: [[Ampicillin]] (50mg/kg q6) IV | **Fully immunized: [[Ampicillin]] (50mg/kg q6) IV | ||
**Not fully immunized: [[Ceftriaxone]] IV | **Not fully immunized: [[Ceftriaxone]] IV | ||
*Outpatient | *Outpatient<ref>Sanford Guide to Antimicrobial Therapy 2014</ref> | ||
**[[Amoxicillin]] (90 mg/kg divided BID) x 10 days PO | **[[Amoxicillin]] (90 mg/kg divided BID) x 10 days PO | ||
***Some studies have shown that 5 day course may also be adequate treatment | ***Some studies have shown that 5 day course may also be adequate treatment | ||
**Alternative: [[Clindamycin]] OR [[Azithromycin]] OR [[Amoxicillin-clavulanate]] | **Alternative: [[Clindamycin]] OR [[Azithromycin]] OR [[Amoxicillin-clavulanate]] | ||
Revision as of 23:08, 13 December 2023
Newborn
- Hospitalized[1]
- Ampicillin (80-90mg/kg/day) + gentamicin +/- cefotaxime
- Add vancomycin if MRSA a concern
- Add erythromycin (12.g mg/kg QID) if concern for chlamydia
- Ampicillin (80-90mg/kg/day) + gentamicin +/- cefotaxime
- Outpatient[2]
- Initial outpatient management not recommended
1-3 Month
- Hospitalized[3]
- Afebrile pneumonitis
- Erythromycin (10 mg/kg q6) or Azithromycin (2.5 mg/kg q12)
- Febrile pneumonia
- Add Cefotaxime (200mg/kg per day divided q8h)
- Afebrile pneumonitis
- Outpatient[4]
- Erythromycin OR Azithromycin PO
>3mo - 18 years
- Hospitalized (PICU/severely ill)[5]
- Ceftriaxone IV AND Vancomycin AND consider Azithromycin
- Hospitalized (moderately ill)[6]
- Fully immunized: Ampicillin (50mg/kg q6) IV
- Not fully immunized: Ceftriaxone IV
- Outpatient[7]
- Amoxicillin (90 mg/kg divided BID) x 10 days PO
- Some studies have shown that 5 day course may also be adequate treatment
- Alternative: Clindamycin OR Azithromycin OR Amoxicillin-clavulanate
- Amoxicillin (90 mg/kg divided BID) x 10 days PO
- ↑ Sanford Guide to Antimicrobial Therapy 2014
- ↑ Sanford Guide to Antimicrobial Therapy 2014
- ↑ Sanford Guide to Antimicrobial Therapy 2014
- ↑ Sanford Guide to Antimicrobial Therapy 2014
- ↑ Sanford Guide to Antimicrobial Therapy 2014
- ↑ Sanford Guide to Antimicrobial Therapy 2014
- ↑ Sanford Guide to Antimicrobial Therapy 2014