Template:Pediatric pneumonia treatment: Difference between revisions

Revision as of 20:37, 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)^[5]
- Ceftriaxone IV AND Vancomycin AND consider Azithromycin
Hospitalized (moderately ill)
- Fully immunized: Ampicillin (50mg/kg/DOSE q6) IV (max: 2 g/DOSE)^[6]^[7]
- Not fully immunized: Ceftriaxone IV 50 mg/kg/day q24h (max: 2 g/DOSE)^[8]^[9]
Outpatient^[10]
- 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 19: / Line 19: @@
 *Hospitalized (PICU/severely ill)<ref>Sanford Guide to Antimicrobial Therapy 2014</ref>
 **[[Ceftriaxone]] IV AND [[Vancomycin]] AND consider [[Azithromycin]]
-*Hospitalized (moderately ill)<ref>Sanford Guide to Antimicrobial Therapy 2014</ref>
+*Hospitalized (moderately ill)
-**Fully immunized:  [[Ampicillin]] (50mg/kg/DOSE q6) IV (max: 2 g/DOSE)
+**Fully immunized:  [[Ampicillin]] (50mg/kg/DOSE q6) IV (max: 2 g/DOSE)<ref>Sanford Guide to Antimicrobial Therapy 2014</ref><ref>Harbor-UCLA ID Guidelines 2026</ref>
-**Not fully immunized: [[Ceftriaxone]] IV 50 mg/kg/day q24h (max: 2 g/DOSE)
+**Not fully immunized: [[Ceftriaxone]] IV 50 mg/kg/day q24h (max: 2 g/DOSE)<ref>Sanford Guide to Antimicrobial Therapy 2014</ref><ref>Harbor-UCLA ID Guidelines 2026</ref>
 *Outpatient<ref>Sanford Guide to Antimicrobial Therapy 2014</ref>
 **[[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]]