Template:Pediatric pneumonia treatment

Newborn

• Hospitalized
  • 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
  • Initial outpatient management not recommended

1-3 Month

• Hospitalized
  • 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
  • Erythromycin OR Azithromycin PO

>3mo - 18 years

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