Template:Pediatric pneumonia treatment: Difference between revisions
| Line 10: | Line 10: | ||
*Hospitalized | *Hospitalized | ||
**Afebrile pneumonitis | **Afebrile pneumonitis | ||
***[[Erythromycin]] (10 mg/kg q6) or [[ | ***[[Erythromycin]] (10 mg/kg q6) or [[Azithromycin]] (2.5 mg/kg q12) | ||
**Febrile pneumonia | **Febrile pneumonia | ||
***Add [[ | ***Add [[Cefotaxime]] (200mg/kg per day divided q8h) | ||
*Outpatient | *Outpatient | ||
**[[ | **[[Erythromycin]] OR [[Azithromycin]] PO | ||
===>3mo - 18 years=== | ===>3mo - 18 years=== | ||
Revision as of 21:20, 28 April 2021
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 Azithromycin (2.5 mg/kg q12)
- Febrile pneumonia
- Add Cefotaxime (200mg/kg per day divided q8h)
- Afebrile pneumonitis
- Outpatient
- Erythromycin OR Azithromycin 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 IV
- Outpatient
- 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
- Amoxicillin (90 mg/kg divided BID) x 10 days PO