Antibiotics By Diagnosis (Peds): Difference between revisions
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== Bugs & Drugs<br> == | == Bugs & Drugs<br> == | ||
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| rowspan="2" | Fever of Uncertain Source (FUS) | |||
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Neonatal (0-30 days): ''GBS, E. coli, Klebsiella, Enterobacter, Listeria or S. aureus'' (rare)<br> | |||
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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.<br> | |||
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| Neonatal (30-60 days): See above.<br> | |||
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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.<br> | |||
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[[Image:Bugs and Drugs Page 01.png|962x646px|Bugs and Drugs Page 01.png]]<br> | [[Image:Bugs and Drugs Page 01.png|962x646px|Bugs and Drugs Page 01.png]]<br> | ||
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[[Image:Bugs and Drugs Page 09.png|960x614px|Bugs and Drugs Page 09.png]] | [[Image:Bugs and Drugs Page 09.png|960x614px|Bugs and Drugs Page 09.png]] | ||
[[Image:Bugs and Drugs Page 10 real.png|961x666px]] | [[Image:Bugs and Drugs Page 10 real.png|961x666px|Bugs and Drugs Page 10 real.png]] | ||
[[Image:Bugs and Drugs Page 10.png|963x594px]] | [[Image:Bugs and Drugs Page 10.png|963x594px|Bugs and Drugs Page 10.png]] | ||
== Source<br> == | == Source<br> == | ||
Revision as of 14:26, 9 July 2011
Bugs & Drugs
| 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.
|
| 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.
| |
Bugs and Drugs Page 10 real.png
Source
Cincinnati Children's Hospital "The Pocket" 2010-2011