Diarrhea (peds): Difference between revisions
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==Treatment== | ==Treatment== | ||
<10yr old | <10yr old | ||
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<3mo --> abx | <3mo --> abx | ||
''' ''''''Diarrheal Pathogens in Children and Specific Therapy''' | |||
{| border="1" cellpadding="2" | |||
Campylobacter jejuni Azithromycin 12 mg/kg/day PO for 5 days or | ! align="left" | AGENT | ||
Erythromycin 30–50 mg/kg/day, divided, tid PO for 5–7 days | ! align="left" | SPECIFIC THERAPY BEYOND SUPPORTIVE CARE | ||
Clostridium difficile Metronidazole 30 mg/kg/day, divided, qid PO for 7–10 days or | |- | ||
Escherichia coli Azithromycin 12 mg/kg/day PO for 5 days or | | rowspan="2" align="left" | ''Campylobacter jejuni'' | ||
Trimethoprim-sulfamethoxazole 10 mg (TMP)/kg/day PO divided bid for 5–7 days | | align="left" | Azithromycin 12 mg/kg/day PO for 5 days ''or'' | ||
Giardia lamblia Metronidazole 15 mg/kg/day PO, divided, tid for 5 days | |- | ||
Salmonella species In toxic infants <3 mo:Ampicillin 200 mg/kg/24 hours q6h for 7–10 days | | align="left" | Erythromycin 30–50 mg/kg/day, divided, tid PO for 5–7 days | ||
Shigella species Azithromycin 12 mg/kg/day PO for 5 days or | |- | ||
Trimethoprim-sulfamethoxazole 10 mg (TMP)/kg/day, divided, bid for 5–7 days if susceptible | | align="left" | ''Clostridium difficile'' | ||
Yersinia enterocolitica If patient is immunosuppressed, treat as for presumed sepsis | | align="left" | Metronidazole 30 mg/kg/day, divided, qid PO for 7–10 days ''or'' | ||
Vibrio None; severe diarrhea or cholera may benefit from antibiotics | |- | ||
| rowspan="2" align="left" | ''Escherichia coli'' | |||
| align="left" | Azithromycin 12 mg/kg/day PO for 5 days ''or'' | |||
|- | |||
| align="left" | Trimethoprim-sulfamethoxazole 10 mg (TMP)/kg/day PO divided bid for 5–7 days | |||
|- | |||
| align="left" | ''Giardia'' lamblia | |||
| align="left" | Metronidazole 15 mg/kg/day PO, divided, tid for 5 days | |||
|- | |||
| align="left" | ''Salmonella'' species | |||
| align="left" | ''In toxic infants <3'' ''mo''<nowiki>:</nowiki><br />Ampicillin 200 mg/kg/24 hours q6h for 7–10 days ''and''<br />Gentamicin 5–7.5 mg/kg/24 hours q8h IV | |||
|- | |||
| rowspan="2" align="left" | ''Shigella'' species | |||
| align="left" | Azithromycin 12 mg/kg/day PO for 5 days ''or'' | |||
|- | |||
| align="left" | Trimethoprim-sulfamethoxazole 10 mg (TMP)/kg/day, divided, bid for 5–7 days if susceptible | |||
|- | |||
| align="left" | ''Yersinia enterocolitica'' | |||
| align="left" | If patient is immunosuppressed, treat as for presumed sepsis | |||
|- | |||
| align="left" | ''Vibrio'' | |||
| align="left" | None; severe diarrhea or cholera may benefit from antibiotics | |||
|} | |||
==See Also== | ==See Also== | ||
Peds: Dehydration | Peds: Dehydration | ||
==Sources== | ==Sources== | ||
Rosen's | Rosen's | ||
[[Category:Peds]] | [[Category:Peds]] | ||
Revision as of 04:35, 12 March 2011
Treatment
<10yr old
<3mo --> abx
' 'Diarrheal Pathogens in Children and Specific Therapy
| AGENT | SPECIFIC THERAPY BEYOND SUPPORTIVE CARE |
|---|---|
| Campylobacter jejuni | Azithromycin 12 mg/kg/day PO for 5 days or |
| Erythromycin 30–50 mg/kg/day, divided, tid PO for 5–7 days | |
| Clostridium difficile | Metronidazole 30 mg/kg/day, divided, qid PO for 7–10 days or |
| Escherichia coli | Azithromycin 12 mg/kg/day PO for 5 days or |
| Trimethoprim-sulfamethoxazole 10 mg (TMP)/kg/day PO divided bid for 5–7 days | |
| Giardia lamblia | Metronidazole 15 mg/kg/day PO, divided, tid for 5 days |
| Salmonella species | In toxic infants <3 mo: Ampicillin 200 mg/kg/24 hours q6h for 7–10 days and Gentamicin 5–7.5 mg/kg/24 hours q8h IV |
| Shigella species | Azithromycin 12 mg/kg/day PO for 5 days or |
| Trimethoprim-sulfamethoxazole 10 mg (TMP)/kg/day, divided, bid for 5–7 days if susceptible | |
| Yersinia enterocolitica | If patient is immunosuppressed, treat as for presumed sepsis |
| Vibrio | None; severe diarrhea or cholera may benefit from antibiotics |
See Also
Peds: Dehydration
Sources
Rosen's