Template:Pediatric pneumonia treatment: Difference between revisions

Revision as of 21:19, 28 April 2021

Hospitalized
- 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
- Initial outpatient management not recommended

Hospitalized
- Afebrile pneumonitis
  - Erythromycin (10 mg/kg q6) or azithro (2.5 mg/kg q12)
- Febrile pneumonia
  - Add cefoTAXime (200mg/kg per day divided q8h)
Outpatient
- erythromycin OR azithro PO

Hospitalized (PICU/severely ill)
- Ceftriaxone IV AND Vancomycin AND consider Azithromycin
Hospitalized (moderately ill)
- Fully immunized: Ampicillin (50mg/kg q6) IV
- Not fully immunized: Ceftriaxone IV
Outpatient
- Amoxicillin (90 mg/kg divided BID) x 10 days PO
  - 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]] IV AND [[vancomycin]] AND consider [[azithromycin]]
+**[[Ceftriaxone]] IV AND [[Vancomycin]] AND consider [[Azithromycin]]
 *Hospitalized (moderately ill)
 **Fully immunized:  [[Ampicillin]] (50mg/kg q6) IV
 **Not fully immunized: [[Ceftriaxone]] IV
 *Outpatient
-**[[Amoxicillin]] (90 mg/kg divided BID) x 5 days PO
+**[[Amoxicillin]] (90 mg/kg divided BID) x 10 days PO
-**Alternative: [[clindamycin]] OR [[azithromycin]] OR [[amoxicillin-clavulanate]]
+***Some studies have shown that 5 day course may also be adequate treatment
+**Alternative: [[Clindamycin]] OR [[Azithromycin]] OR [[Amoxicillin-clavulanate]]