Template:Pediatric pneumonia treatment: Difference between revisions
| Line 18: | Line 18: | ||
===>3mo - 18 years=== | ===>3mo - 18 years=== | ||
*Hospitalized (PICU/severely ill) | *Hospitalized (PICU/severely ill) | ||
**[[Ceftriaxone]] IV AND [[vancomycin]] AND consider [[ | **[[Ceftriaxone]] IV AND [[vancomycin]] AND consider [[azithromycin]] | ||
*Hospitalized (moderately ill) | *Hospitalized (moderately ill) | ||
**Fully immunized: [[Ampicillin]] (50mg/kg q6) IV | **Fully immunized: [[Ampicillin]] (50mg/kg q6) IV | ||
Revision as of 19:26, 19 June 2015
Newborn
- 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
- Ampicillin (80-90mg/kg/day) + gentamicin +/- cefotaxime
- Outpatient
- Initial outpatient management not recommended
1-3 Month
- Hospitalized
- Afebrile pneumonitis
- Erythromycin (10 mg/kg q6) or azithro (2.5 mg/kg q12)
- Febrile pneumonia
- Afebrile pneumonitis
- Add cefoTAXime (200mg/kg per day divided q8h)
- Outpatient
- erythromycin OR azithro PO
>3mo - 18 years
- 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 (150 mg/kg divided q8h) IV
- Outpatient
- Amoxicillin (90 mg/kg divided BID) x 5 days PO
- Alternative: clindamycin OR azithromycin OR amoxicillin-clavulanate