Template:Epidural Abscess Treatment: Difference between revisions
(Convert to AntibioticDose with disease=Epidural abscess (spinal)) |
(Add pediatric dosing section) |
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**Can substitute [[Nafcillin]] or [[Oxacillin]] for [[Vancomycin]] if not [[MRSA]] | **Can substitute [[Nafcillin]] or [[Oxacillin]] for [[Vancomycin]] if not [[MRSA]] | ||
''Treat for 6-8 weeks'' | ''Treat for 6-8 weeks'' | ||
====Pediatric==== | |||
*{{AntibioticDose|disease=Epidural abscess (spinal)|drug=Vancomycin|dose=15mg/kg IV q6hrs|context=Pediatric Empiric|population=Pediatric}} + {{AntibioticDose|disease=Epidural abscess (spinal)|drug=Ceftriaxone|dose=50-75mg/kg IV daily (max 2g)|context=Pediatric Empiric|population=Pediatric}} + {{AntibioticDose|disease=Epidural abscess (spinal)|drug=Metronidazole|dose=7.5mg/kg IV q6hrs (max 500mg)|context=Pediatric Empiric|population=Pediatric}} | |||
*Treat for 6-8 weeks | |||
Latest revision as of 13:21, 20 March 2026
- Target Staph, Strep, and Gram-negative bacilli[1]
- Vancomycin 15-20mg/kg BID + 500mg (7.5mg/kg) q6 hrs + (Cefotaxime or standard dosing or Ceftazidime)
- Ceftazidime is preferred if pseudomonas is considered likely
- Can substitute Nafcillin or Oxacillin for Vancomycin if not MRSA
Treat for 6-8 weeks
Pediatric
- Vancomycin 15mg/kg IV q6hrs + Ceftriaxone 50-75mg/kg IV daily (max 2g) + Metronidazole 7.5mg/kg IV q6hrs (max 500mg)
- Treat for 6-8 weeks
- ↑ Rigamonti D. et al. Spinal epidural abscess: contemporary trends in etiology, evaluation, and management. Surg Neurol 1999; 52:189-96