Template:Otitis Media Antibiotics: Difference between revisions
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====Treatment during prior Month==== | ====Treatment during prior Month==== | ||
# | # If amoxicillin taken in past 30 days, '''[[Augmentin]]'''dosed off amoxicillin component x7-10 days | ||
#'''[[Cefdinir]]''' 14mg/kg/day BID x7-10 days | #'''[[Cefdinir]]''' 14mg/kg/day BID x7-10 days | ||
#'''[[Cefpodoxime]]''' 10mg/kg PO daily x7-10 days | #'''[[Cefpodoxime]]''' 10mg/kg PO daily x7-10 days | ||
#'''[[Cefuroxime]]''' 15mg/kg PO BID x7-10 days | #'''[[Cefuroxime]]''' 15mg/kg PO BID x7-10 days | ||
#'''[[Cefprozil]]''' 15mg/kg PO BID x7-10 days | #'''[[Cefprozil]]''' 15mg/kg PO BID x7-10 days | ||
====Treatment Failure==== | ====Treatment Failure==== | ||
''defined as treatment during the prior 7-10 days'' | ''defined as treatment during the prior 7-10 days'' | ||
Revision as of 00:04, 8 August 2019
Initial Treatment
- Amoxicillin 80-90mg/kg/day divided into 2 daily doses 7-10 days
Treatment during prior Month
- If amoxicillin taken in past 30 days, Augmentindosed off amoxicillin component x7-10 days
- 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