Antibiotics By Diagnosis (Peds): Difference between revisions

Revision as of 14:26, 9 July 2011

Fever of Uncertain Source (FUS)	Neonatal (0-30 days): GBS, E. coli, Klebsiella, Enterobacter, Listeria or S. aureus (rare)	Send blood, urine and CSF cultures. Listeria, while infrequent at CCHMC, may sporadically occur in clustered cases. Ampicillin 200 mg/kg/day (if >2 kg) IV div Q6 AND Cefotaxime 200 mg/kg/day IV div Q6. Ampicillin 200 mg/kg/day (if >2 kg) IV div Q6 AND Gentamicin 3.5 mg/kg/day IV Q24. Consider risk factors for neonatal HSV disease. Test and treat accordingly.
Fever of Uncertain Source (FUS)	Neonatal (30-60 days): See above.	Workup: Blood and urine specimen. If low-risk (non-ill appearing), normal blood and urine analyses, parents and PMD okay, consider no LP, no antibiotics, and discharge home with f/u in 12-24 hours. Otherwise, LP + Abx. Cefotaxime 200 mg/kg/day IV div Q6 or Ceftriaxone1 100 mg/kg/day IV div Q12. If evidence of UTI or severly ill infant, add Ampicillin.

Cincinnati Children's Hospital "The Pocket" 2010-2011

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 #Ampicillin 200 mg/kg/day (if &gt;2 kg) IV div Q6 AND Cefotaxime 200 mg/kg/day IV div Q6.
 #Ampicillin 200 mg/kg/day (if &gt;2 kg) IV div Q6 AND Gentamicin 3.5 mg/kg/day IV Q24.
-#Consider risk factors for neonatal HSV disease. Test and treat accordingly.<br>
+#Consider risk factors for neonatal HSV disease. Test and treat accordingly.
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 | Neonatal (30-60 days): See above.<br>
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 == Source<br>  ==
 Cincinnati Children's Hospital "The Pocket" 2010-2011<br>
 [[Category:Peds]] [[Category:ID]]