Template:Otitis Media Antibiotics: Difference between revisions
 
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====Initial Treatment====
====Initial Treatment====
#'''[[Amoxicillin]] 80-90mg/kg/day divided into 2 daily doses 7-10 days'''
'''High Dose [[Amoxicillin]]'''
{{OM amox peds treatment}}


====Treatment during prior Month====
====Treatment during prior Month====
# If amoxicillin taken in past 30 days, '''[[Augmentin]]''' dosed off amoxicillin component x7-10 days
# If amoxicillin taken in past 30 days, '''[[Amoxicillin/Clavulanate]]'''
#*80-90mg of amoxicillin per kg/day PO divided BID x 7-10 days
#*Clavulanate increases vomiting/diarrhea
#'''[[Cefdinir]]''' 14mg/kg/day BID x7-10 days
#'''[[Cefdinir]]''' 14mg/kg/day BID x7-10 days
#'''[[Cefpodoxime]]''' 10mg/kg PO daily x7-10 days
#'''[[Cefpodoxime]]''' 10mg/kg PO daily x7-10 days
#'''[[Cefuroxime]]''' 15mg/kg PO BID x7-10 days
#'''[[Cefuroxime]]''' 15mg/kg PO BID x7-10 days
#'''[[Cefprozil]]''' 15mg/kg PO BID x7-10 days
#'''[[Cefprozil]]''' 15mg/kg PO BID x7-10 days
====Otitis/Conjunctivitis====
*Suggestive of non-typeable H.flu
#'''[[Amoxicillin/Clavulanate]]'''
#*80-90mg of amoxicillin per kg/day PO divided BID x 7-10 days
#*Clavulanate increases vomiting/diarrhea


====Treatment Failure====
====Treatment Failure====
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#'''[[Amoxicillin/Clavulanate]]'''
#'''[[Amoxicillin/Clavulanate]]'''
#*80-90mg of amoxicillin per kg/day PO divided BID x 7-10 days
#*80-90mg of amoxicillin per kg/day PO divided BID x 7-10 days
#*Clavulanate increases vomiting/diarrhea
#'''[[Ceftriaxone]]''' 50mg/kg IM once as single injection x 3 days
#'''[[Ceftriaxone]]''' 50mg/kg IM once as single injection x 3 days
#*Use if cannot tolerate PO
#*Use if cannot tolerate PO

Latest revision as of 16:37, 23 October 2024

Initial Treatment

High Dose Amoxicillin

  • <2 months
    • 30mg/kg/day PO divided q12h x 10 days
    • First Dose: 15mg/kg PO x 1
  • 2 months - 5 years
    • 80-90mg/kg/day PO divided q12h x 10 days
    • First Dose: 40-45mg/kg PO x 1
    • Max: 1000mg/dose
  • 6-12 years
    • 80-90mg/kg/day PO divided q12h x 5-10 days
    • First Dose: 40-45mg/kg/day PO x 1
    • Max: 1000mg/dose

Treatment during prior Month

  1. If amoxicillin taken in past 30 days, Amoxicillin/Clavulanate
    • 80-90mg of amoxicillin per kg/day PO divided BID x 7-10 days
    • Clavulanate increases vomiting/diarrhea
  2. Cefdinir 14mg/kg/day BID x7-10 days
  3. Cefpodoxime 10mg/kg PO daily x7-10 days
  4. Cefuroxime 15mg/kg PO BID x7-10 days
  5. Cefprozil 15mg/kg PO BID x7-10 days

Otitis/Conjunctivitis

  • Suggestive of non-typeable H.flu
  1. Amoxicillin/Clavulanate
    • 80-90mg of amoxicillin per kg/day PO divided BID x 7-10 days
    • Clavulanate increases vomiting/diarrhea

Treatment Failure

defined as treatment during the prior 7-10 days

  1. Amoxicillin/Clavulanate
    • 80-90mg of amoxicillin per kg/day PO divided BID x 7-10 days
  2. Ceftriaxone 50mg/kg IM once as single injection x 3 days
    • Use if cannot tolerate PO

Penicillin Allergy

  1. Azithromycin 10mg/kg/day x 1 day and 5mg/kg/day x 4 remaining days
  2. Clarithromycin 7.5mg/kg PO BID x 10 days
  3. Clindamycin 10mg/kg PO three times daily
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