Template:Otitis Media Antibiotics: Difference between revisions
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#'''[[Clarithromycin]]''' 7.5mg/kg PO BID x 10 days | #'''[[Clarithromycin]]''' 7.5mg/kg PO BID x 10 days | ||
#'''[[Clindamycin]]''' 10mg/kg PO three times daily | #'''[[Clindamycin]]''' 10mg/kg PO three times daily | ||
#*Clindamycin does not cover H. influenza and M. catarrhalis and treatment should favor Azithromycin use | #*Clindamycin does not cover [[H. influenza]] and [[M. catarrhalis]] and treatment should favor Azithromycin use | ||
Revision as of 08:20, 16 October 2016
Initial Treatment
- Amoxicillin 80-90mg/kg/day divided into 2 daily doses 7-10 days
Treatment during prior Month
- Can use Amoxicillin as same dosing as initial treatment
- Cefdinir 14mg/kg/day BID x7-10 days
- Cefpodoxime 10mg/kg PO daily x7-10 days
- Cefuroxime 15mg/kg PO BID x7-10 days
- Cefprozil 15mg/kg PO BID x7-10 days
Treatment Failure
defined as treatment during the prior 7-10 days
- Amoxicillin/Clavulanate
- 80-90mg of amoxicillin per kg/day
- Clavulanate increases vomiting/diarrhea
- Ceftriaxone 50mg/kg IM once as single injection x 3 days
- Use if cannot tolerate PO
Penicillin Allergy
- Azithromycin 10mg/kg/day x 1 day and 5mg/kg/day x 4 remaining days
- Clarithromycin 7.5mg/kg PO BID x 10 days
- Clindamycin 10mg/kg PO three times daily
- Clindamycin does not cover H. influenza and M. catarrhalis and treatment should favor Azithromycin use