Template:Streptococcal Pharyngitis Antibiotics: Difference between revisions
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''' | '''Treatment can be delayed for up to 9 days and still prevent major sequelae''' | ||
'''[[Penicillin]] Options:''' | '''[[Penicillin]] Options:<ref name="ISDA strep 2012">[http://www.idsociety.org/uploadedFiles/IDSA/Guidelines-patient_Care/PDF_Library/2012%20Strep%20Guideline.pdf ID society guidelines]</ref>''' | ||
*[[Penicillin V]] 250mg PO BID x 10d (child) or 500mg BID x 10d (adolescent) | *[[Penicillin V]] 250mg PO BID x 10d (child) or 500mg BID x 10d (adolescent) | ||
*[[Bicillin L-A]] 25-50K mg/kg IM x 1 (max dose = 1.2million) | *[[Bicillin L-A]] 25-50K mg/kg IM x 1 (max dose = 1.2million) | ||
'''[[Penicillin]] allergic (mild):<ref name="ISDA strep 2012">[http://www.idsociety.org/uploadedFiles/IDSA/Guidelines-patient_Care/PDF_Library/2012%20Strep%20Guideline.pdf ID society guidelines]</ref>''' | |||
'''[[Penicillin]] allergic (mild):''' | |||
*[[Cefuroxime]] 10mg/kg PO QID x 10d (child) or 250mg PO BID x 4d | *[[Cefuroxime]] 10mg/kg PO QID x 10d (child) or 250mg PO BID x 4d | ||
'''[[Penicillin]] allergic (anaphylaxis):<ref name="ISDA strep 2012">[http://www.idsociety.org/uploadedFiles/IDSA/Guidelines-patient_Care/PDF_Library/2012%20Strep%20Guideline.pdf ID society guidelines]</ref>''' | |||
'''[[Penicillin]] allergic (anaphylaxis):''' | |||
*[[Clindamycin]] 7.5mg/kg PO QID x 10d (child) or 450mg PO TID x 10d OR | *[[Clindamycin]] 7.5mg/kg PO QID x 10d (child) or 450mg PO TID x 10d OR | ||
*[[Azithromycin]] 12mg/kg QD (child) or 500mg on day 1; then 250mg on days 2-5 | *[[Azithromycin]] 12mg/kg QD (child) or 500mg on day 1; then 250mg on days 2-5 | ||
Revision as of 19:54, 25 September 2016
Treatment can be delayed for up to 9 days and still prevent major sequelae
Penicillin Options:[1]
- Penicillin V 250mg PO BID x 10d (child) or 500mg BID x 10d (adolescent)
- Bicillin L-A 25-50K mg/kg IM x 1 (max dose = 1.2million)
Penicillin allergic (mild):[1]
- Cefuroxime 10mg/kg PO QID x 10d (child) or 250mg PO BID x 4d
Penicillin allergic (anaphylaxis):[1]
- Clindamycin 7.5mg/kg PO QID x 10d (child) or 450mg PO TID x 10d OR
- Azithromycin 12mg/kg QD (child) or 500mg on day 1; then 250mg on days 2-5