Diarrhea (peds)

Treatment

<10yr old

<3mo --> abx

Diarrheal Pathogens in Children and Specific Therapy

AGENT	SPECIFIC THERAPY BEYOND SUPPORTIVE CARE
Campylobacter jejuni	Azithromycin 12 mg/kg/day PO for 5 days or
	Erythromycin 30–50 mg/kg/day, divided, tid PO for 5–7 days
Clostridium difficile	Metronidazole 30 mg/kg/day, divided, qid PO for 7–10 days or
Escherichia coli	Azithromycin 12 mg/kg/day PO for 5 days or
	Trimethoprim-sulfamethoxazole 10 mg (TMP)/kg/day PO divided bid for 5–7 days
Giardia lamblia	Metronidazole 15 mg/kg/day PO, divided, tid for 5 days
Salmonella species	In toxic infants <3 mo: Ampicillin 200 mg/kg/24 hours q6h for 7–10 days and Gentamicin 5–7.5 mg/kg/24 hours q8h IV
Shigella species	Azithromycin 12 mg/kg/day PO for 5 days or
	Trimethoprim-sulfamethoxazole 10 mg (TMP)/kg/day, divided, bid for 5–7 days if susceptible
Yersinia enterocolitica	If patient is immunosuppressed, treat as for presumed sepsis
Vibrio	None; severe diarrhea or cholera may benefit from antibiotics

See Also

Peds: Dehydration

Sources

Rosen's