Diarrhea (peds)

Treatment

<10yr old

<3mo --> abx

Diarrheal Pathogens in Children and Specific Therapy

AGENTSPECIFIC 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 andGentamicin 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