Template:Pediatric pneumonia treatment: Difference between revisions

Revision as of 20:48, 14 January 2026

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
Outpatient^[2]
- Initial outpatient management not recommended

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)
Outpatient^[4]
- Erythromycin OR Azithromycin PO

Hospitalized (PICU/severely ill)
- Cefepime 50 mg/kg/DOSE q8h IV, AND^[5]
- Vancomycin 15 mg/kg/DOSE q6h IV, AND^[6]^[7]
- Consider Azithromycin^[8]
Hospitalized (moderately ill)
- Fully immunized: Ampicillin (50mg/kg/DOSE q6) IV (max: 2 g/DOSE)^[9]^[10]
- Not fully immunized: Ceftriaxone IV 50 mg/kg/day q24h (max: 2 g/DOSE)^[11]^[12]
Outpatient
- Amoxicillin (90 mg/kg divided BID) x 10 days PO^[13]
  - Some studies have shown that 5 day course may also be adequate treatment
- Alternative: Clindamycin OR Azithromycin OR Amoxicillin-clavulanate

@@ Line 18: / Line 18: @@
 ===>3mo - 18 years===
 *Hospitalized (PICU/severely ill)
-**[[Ceftriaxone]] 50 mg/kg/DOSE q24h IV, AND<ref>Sanford Guide to Antimicrobial Therapy 2014</ref><ref>Harbor-UCLA ID Guidelines 2026</ref>
+**[[Cefepime]] 50 mg/kg/DOSE q8h IV, AND<ref>Harbor-UCLA ID Guidelines 2026</ref>
 **[[Vancomycin]] 15 mg/kg/DOSE q6h IV, AND<ref>Sanford Guide to Antimicrobial Therapy 2014</ref><ref>Harbor-UCLA ID Guidelines 2026</ref>
 **Consider [[Azithromycin]]<ref>Sanford Guide to Antimicrobial Therapy 2014</ref>