Template:Epiglottitis Antibiotics: Difference between revisions
(Created page with "Coverage targets Streptococcus pneumoniae, Staphylococcus pyogenes, and Haemophilus influenzae, and H. parainfluenzae ====Immunocompetent==== *Ceftriaxone 2gm IV once dail...") |
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*[[Ampicillin/Sulbactam]] 3g (50mg/kg) IV q 6 hours OR | *[[Ampicillin/Sulbactam]] 3g (50mg/kg) IV q 6 hours OR | ||
*[[Levofloxacin]] 750mg IV once daily | *[[Levofloxacin]] 750mg IV once daily | ||
*Consider [[Vancomycin]] 15-20mg/kg to any of the above if risk of [[MRSA]]<ref>Young LS, Price CS. Complicated adult epiglottitis due to methicillin-resistant Staphylococcus aureus. Am J Otolaryngol. Nov-Dec 2007;28(6):441-3.</ref> | *Consider [[Vancomycin]] 15-20mg/kg IV to any of the above if risk of [[MRSA]]<ref>Young LS, Price CS. Complicated adult epiglottitis due to methicillin-resistant Staphylococcus aureus. Am J Otolaryngol. Nov-Dec 2007;28(6):441-3.</ref> | ||
====Immunocompromised==== | ====Immunocompromised==== | ||
Coverage should extend to all of the typical organisms above as well as Pseudomonas, M. tuberculosis, and C. albicans | Coverage should extend to all of the typical organisms above as well as Pseudomonas, M. tuberculosis, and C. albicans | ||
*[[Cefepime]] 2g (50/kg) IV q8 hours AND [[Vancomycin]] 15mg/kg IV q6 hours | *[[Cefepime]] 2g (50/kg) IV q8 hours AND [[Vancomycin]] 15mg/kg IV q6 hours | ||
Latest revision as of 17:21, 23 June 2019
Coverage targets Streptococcus pneumoniae, Staphylococcus pyogenes, and Haemophilus influenzae, and H. parainfluenzae
Immunocompetent
- Ceftriaxone 2gm IV once daily (first line) OR
- Cefotaxime 2gm (50mg/kg) IV three times daily OR
- Ampicillin/Sulbactam 3g (50mg/kg) IV q 6 hours OR
- Levofloxacin 750mg IV once daily
- Consider Vancomycin 15-20mg/kg IV to any of the above if risk of MRSA[1]
Immunocompromised
Coverage should extend to all of the typical organisms above as well as Pseudomonas, M. tuberculosis, and C. albicans
- Cefepime 2g (50/kg) IV q8 hours AND Vancomycin 15mg/kg IV q6 hours
- ↑ Young LS, Price CS. Complicated adult epiglottitis due to methicillin-resistant Staphylococcus aureus. Am J Otolaryngol. Nov-Dec 2007;28(6):441-3.