Template:Otitis Media Antibiotics: Difference between revisions
| Line 11: | Line 11: | ||
''defined as treatment during the prior 7-10 days'' | ''defined as treatment during the prior 7-10 days'' | ||
#'''[[Amoxicillin/Clavulanate]]''' | #'''[[Amoxicillin/Clavulanate]]''' | ||
#*80-90mg of amoxicillin per kg/day | #*80-90mg of amoxicillin per kg/day PO divided BID x 7-10 days | ||
#*Clavulanate increases vomiting/diarrhea | #*Clavulanate increases vomiting/diarrhea | ||
#'''[[Ceftriaxone]]''' 50mg/kg IM once as single injection x 3 days | #'''[[Ceftriaxone]]''' 50mg/kg IM once as single injection x 3 days | ||
#*Use if cannot tolerate PO | #*Use if cannot tolerate PO | ||
====Penicillin Allergy==== | ====Penicillin Allergy==== | ||
#'''[[Azithromycin]]''' 10mg/kg/day x 1 day and 5mg/kg/day x 4 remaining days | #'''[[Azithromycin]]''' 10mg/kg/day x 1 day and 5mg/kg/day x 4 remaining days | ||
Revision as of 02:40, 18 July 2019
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 PO divided BID x 7-10 days
- 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