Template:Pediatric pneumonia treatment: Difference between revisions

Revision as of 20:53, 14 January 2026

Hospitalized^[1]
- Ampicillin (80-90mg/kg/day) + gentamicin +/- cefotaxime
  - Add vancomycin if MRSA a concern
  - Add erythromycin (12.g mg/kg QID) if concern for chlamydia
Outpatient^[2]
- Initial outpatient management not recommended

Hospitalized^[3]
- Afebrile pneumonitis
  - Erythromycin (10 mg/kg q6) or Azithromycin (2.5 mg/kg q12)
- Febrile pneumonia
  - Add Cefotaxime (200mg/kg per day divided q8h)
Outpatient^[4]
- Erythromycin OR Azithromycin PO

Hospitalized (PICU/severely ill)
- Cefepime (50 mg/kg/DOSE q8h) IV, AND^[5]
- Vancomycin (15 mg/kg/DOSE q6h) IV, AND^[6]^[7]
- Consider coverage for anaerobes if strong concern for aspiration^[8]
Hospitalized (moderately ill)
- Fully immunized: Ampicillin (50mg/kg/DOSE q6) IV (max: 2 g/DOSE)^[9]^[10]
- Not fully immunized: Ceftriaxone (50 mg/kg/day q24h) IV (max: 2 g/DOSE)^[11]^[12]
Outpatient
- Amoxicillin (45 mg/kg/DOSE BID) x 5-7 days PO^[13]^[14]
  - Some studies have shown that 5 day course may also be adequate treatment
- Alternative: Clindamycin OR Azithromycin OR Amoxicillin-clavulanate

@@ Line 25: / Line 25: @@
 **Not fully immunized: [[Ceftriaxone]] (50 mg/kg/day q24h) IV (max: 2 g/DOSE)<ref>Sanford Guide to Antimicrobial Therapy 2014</ref><ref>Harbor-UCLA ID Guidelines 2026</ref>
 *Outpatient
-**[[Amoxicillin]] (90 mg/kg divided BID) x 10 days PO<ref>Sanford Guide to Antimicrobial Therapy 2014</ref>
+**[[Amoxicillin]] (45 mg/kg/DOSE BID) x 5-7 days PO<ref>Sanford Guide to Antimicrobial Therapy 2014</ref><ref>Harbor-UCLA ID Guidelines 2026</ref>
 ***Some studies have shown that 5 day course may also be adequate treatment
 **Alternative: [[Clindamycin]] OR [[Azithromycin]] OR [[Amoxicillin-clavulanate]]