Flashcards in Antibiotics Paeds Deck (29):
1
Encephalitis
Aciclovir 20 mg/kg iv 8H (age 12y)
2
Meningitis Age >2months
Ceftriaxone 50 mg/kg/dose (2g) iv 12H
3
Meningitis Age
Cefotaxime 50 mg/kg (2g) iv 6H + Benzylpenicillin 60 mg/kg iv 12 H (wk 1 of life) 6-8H 4H (>wk 4 of life)
4
Meningococcal prophylaxis
Rifampicin 10 mg/kg (600 mg) po 12H for 2d
5
Orbital cellulitis
Flucloxacillin 50 mg/kg (2 g) iv 6H AND
Ceftriaxone 50 mg/kg/dose (2g) iv 12H
6
MILD Periorbital cellulitis
Amoxycillin/Clavulanate (400/57 mg per 5 mL)
0.3 mL/kg (11 mL) po 12H
7
Moderate Periorbital cellulitis
Flucloxacillin 50 mg/kg (2 g) iv 6H
8
SEVERE Periorbital cellulitis
Flucloxacillin 50 mg/kg (2 g) iv 6H AND
Ceftriaxone 50 mg/kg/dose (2g) iv 12H
9
Peritonitis
Ampicillin 50 mg/kg (2 g) iv 6H and
Gent 7.5 (6 if >10y) mg/kg (360 mg) iv daily and
Metronidazole 15 mg/kg (1 g) iv stat, then 7.5 mg/kg (500 mg) iv 8H
10
Giardiasis
Metronidazole 30 mg/kg (2 g) po daily for 3d
11
UTI and SICK
Benzylpenicillin 60 mg/kg (2 g) iv 6H and
Gent 7.5 (6 if >10y) mg/kg (360 mg) iv daily
12
UTI and not sick and >6mo
Trimethoprim 4 mg/kg (150 mg) tablets po 12H or
if syrup necessary then Co-trimoxazole
(8/40 mg per mL) 0.5 mL/kg (20 mL) po 12H
13
Tonsillitis
consider no antibiotics
phenoxymethylpenicillin/Penicillin V 250 (500 if >10y) mg po 12H for 10d
14
Otitis media
Consider no antibiotics for 48 hrs (especially if >2y old) or
Amoxycillin 15 mg/kg (500 mg) po 8H
15
Pertussis
Clarithromycin 7.5 mg/kg (for child > 1month) up to 500 mg po 12H for 7d
(No Clarithromycin syrup available at present)
Azithromycin 10 mg/kg (for infant
16
Pneumonia mild
Amoxycillin 15 mg/kg (500 mg) po 8H or
Roxithromycin 4 mg/kg (150 mg) po 12H If considering Mycoplasma
17
Pneumonia moderate
Benzylpenicillin 60 mg/kg (2 g) iv 6H and
Roxithromycin 4 mg/kg (150 mg) po 12H If considering Mycoplasma
18
Pneumonia Severe
Flucloxacillin 50 mg/kg (2 g) iv 4H and
Gent 7.5 (6 if >10y) mg/kg (360 mg) iv daily and
Azithromycin 15 mg/kg (500 mg) iv stat then 5mg/kg iv daily If considering Mycoplasma
19
Adenitis
Flucloxacillin 50 mg/kg (2 g) iv 6H
20
Bites mild/moderate
Amoxycillin/Clavulanate (400/57 mg per 5 mL)
0.3 mL/kg (11 mL) po 12H
21
Bites: Severe
Ticarcillin/clavulanate 50mg/kg (3g) iv 6H
22
Cellulitis Mild
Cephalexin 25mg/kg (500mg) po 6H
23
Cellulitis Mod/severe
Flucloxacillin 50 mg/kg (2 g) iv 6H
24
Impetigo
Mupirocin 2% ointment 8H if localised or
Cephalexin 25mg/kg (500mg) po 12H
25
Head lice
1% Permethrin liquid or cream rinse
26
scabies
5% Permethrin cream (treat all family)
27
Osteomyelitis/Septic arthritis
Flucloxacillin 50 mg/kg (2 g) iv 4-6H
28
Septicamia (ie sick child)
(with normal CSF)
Flucloxacillin 50 mg/kg (2 g) iv 4H and
Gent 7.5 (6 if >10y) mg/kg (360 mg) iv daily
29