Template:Otitis Media Antibiotics: Difference between revisions

Revision as of 13:30, 13 April 2015

Treatment is targeted at S. pneumoniae, H. influenzae, Moraxella catarrhalis, S. pyogenes, S. aureus, and Rhinovirus

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

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

@@ Line 1: / Line 1: @@
-#'''[[Amoxicillin]] 80-90mg/kg/day divided into 2 daily doses x5-7days'''
+====Initial Treatment====
-#*1st line
+''Treatment is targeted at S. pneumoniae, H. influenzae, Moraxella catarrhalis, S. pyogenes, S. aureus, and Rhinovirus''
+#'''[[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
-#*Consider if symptoms persist >72hr after amox begun
 #*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
-#*Consider if penicillin allergic
+#'''[[Clarithromycin]]''' 7.5mg/kg PO BID x 10 days
-#'''[[Ceftriaxone]]''' 50mg/kg IM once as single injection
+#'''[[Clindamycin]]''' 10mg/kg PO three times daily
-#*Use if cannot tolerate PO
+#*Clindamycin does not cover H. influenza and M. catarrhalis and treatment should favor Azithromycin use
-#'''[[Cefdinir]]''' 14mg/kg/day BID x 5 days