Template:Pediatric pneumonia treatment: Difference between revisions
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===>3mo - 18 years=== | ===>3mo - 18 years=== | ||
*Hospitalized (PICU/severely ill) | *Hospitalized (PICU/severely ill) | ||
**[[Ceftriaxone]] IV AND [[Vancomycin]] AND consider [[Azithromycin]] | **[[Ceftriaxone]] IV AND [[Vancomycin]] AND consider [[Azithromycin]]<ref>Sanford Guide to Antimicrobial Therapy 2014</ref> | ||
*Hospitalized (moderately ill) | *Hospitalized (moderately ill) | ||
**Fully immunized: [[Ampicillin]] (50mg/kg/DOSE q6) IV (max: 2 g/DOSE)<ref>Sanford Guide to Antimicrobial Therapy 2014</ref><ref>Harbor-UCLA ID Guidelines 2026</ref> | **Fully immunized: [[Ampicillin]] (50mg/kg/DOSE q6) IV (max: 2 g/DOSE)<ref>Sanford Guide to Antimicrobial Therapy 2014</ref><ref>Harbor-UCLA ID Guidelines 2026</ref> | ||
**Not fully immunized: [[Ceftriaxone]] IV 50 mg/kg/day q24h (max: 2 g/DOSE)<ref>Sanford Guide to Antimicrobial Therapy 2014</ref><ref>Harbor-UCLA ID Guidelines 2026</ref> | **Not fully immunized: [[Ceftriaxone]] IV 50 mg/kg/day q24h (max: 2 g/DOSE)<ref>Sanford Guide to Antimicrobial Therapy 2014</ref><ref>Harbor-UCLA ID Guidelines 2026</ref> | ||
*Outpatient | *Outpatient | ||
**[[Amoxicillin]] (90 mg/kg divided BID) x 10 days PO | **[[Amoxicillin]] (90 mg/kg divided BID) x 10 days PO<ref>Sanford Guide to Antimicrobial Therapy 2014</ref> | ||
***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 20:38, 14 January 2026
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)
- Ceftriaxone IV AND Vancomycin AND consider Azithromycin[5]
- Hospitalized (moderately ill)
- Fully immunized: Ampicillin (50mg/kg/DOSE q6) IV (max: 2 g/DOSE)[6][7]
- Not fully immunized: Ceftriaxone IV 50 mg/kg/day q24h (max: 2 g/DOSE)[8][9]
- Outpatient
- Amoxicillin (90 mg/kg divided BID) x 10 days PO[10]
- 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[10]
- ↑ 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
- ↑ Harbor-UCLA ID Guidelines 2026
- ↑ Sanford Guide to Antimicrobial Therapy 2014
- ↑ Harbor-UCLA ID Guidelines 2026
- ↑ Sanford Guide to Antimicrobial Therapy 2014