Read e-book online 2010-2011 Nelson's Pocket Book of Pediatric Antimicrobial PDF

By John S. Bradley MD, John D. Nelson MD Emeritus

ISBN-10: 1581104294

ISBN-13: 9781581104295

This best-selling and widespread source on pediatric antimicrobial treatment offers immediate entry to trustworthy, up to the moment strategies for remedy of all infectious illnesses in childrens. for every sickness, the authors offer a observation to assist wellbeing and fitness care prone decide on the easiest of all antimicrobial offerings. Drug descriptions disguise all antimicrobial brokers to be had at the present time and contain entire information regarding dosing regimens. in line with growing to be issues approximately overuse of antibiotics, this system contains instructions on whilst to not prescribe antimicrobials. Key beneficial properties: designed should you look after little ones and are confronted with judgements each day; comprises remedy of parasitic infections and tropical medication; up-to-date anti-infective drug directory, whole with formulations and dosages; and balanced info on safeguard, efficacy, and tolerability with info on expenditures and availability of drugs.

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Extra resources for 2010-2011 Nelson's Pocket Book of Pediatric Antimicrobial Therapy

Example text

OROPHARYNGEAL INFECTIONS Sinusitis, acute Same antibiotic therapy as for AOM (amoxicillin 90 mg/ For more severe symptoms, use high-dosage amox/clav to (H influenzae non–type b, kg/day PO div bid) (BIII). indd 42 Pharyngitis Amoxicillin 50–75 mg/kg/day PO, either once daily, bid Amoxicillin displays better gastrointestinal absorption (group A streptococcus) or tid x 10 d OR penicillin V 50–75 mg/kg/day PO div than oral phenoxymethyl penicillin; the suspension is 7,91–93 tonsillopharyngitis bid or tid, OR benzathine penicillin 600,000 units IM better tolerated.

An assessment after therapy will ensure that your selection of antibiotic, dose, and duration of therapy was appropriate. • Diseases are arranged by body systems. Consult the index for the alphabetized listing of diseases and Chapters 7 through 10 for the alphabetized listing of pathogens and for uncommon organisms not included in this chapter. • Abbreviations: ADH, antidiuretic hormone; AFB, acid-fast bacilli; amox/clav, amoxicillin/clavulanate; amp/sulbactam, ampicillin/ sulbactam; bid, twice daily; AOM, acute otitis media; CA-MRSA, community-associated methicillin-resistant Staphylococcus aureus; CMV, cytomegalovirus; CNS, central nervous system; CSF, cerebrospinal fluid; CT, computed tomography; div, divided; EBV, Epstein-Barr virus; ESBL, extended spectrum beta-lactamase; ESR, erythrocyte sedimentation rate; FDA, US Food and Drug Administration; HAP/VAP, hospital-acquired pneumonia/ventilator-acquired pneumonia; HIV, human immunodeficiency virus; HSV, herpes simplex virus; HUS, hemolytic uremic syndrome; I&D, incision and drainage; IM, intramuscular; inh, inhaled; IV, intravenous; IVIG, intravenous immune globulin; LP, lumbar puncture; MAC, Mycobacterium avium complex; MSSA, methicillin-susceptible S aureus; MSSE, methicillin-sensitive Staphylococcus epidermidis; MRSE, methicillin-resistant S epidermidis; ophth, ophthalmic; pen-R, penicillin-resistant; pen-S, penicillin-susceptible; pip/tazo, piperacillin/tazobactam; PO, orally; PPD, purified protein derivative; qd, once daily; qid, 4 times daily; RSV, respiratory syncytial virus; SPAG-2, small particle aerosol generator-2; STI, sexually transmitted infection; soln, solution; ticar/clav, ticarcillin/clavulanate; tid, 3 times daily; TB, tuberculosis; TMP/SMX, trimethoprim/ sulfamethoxazole; VDRL, Venereal Disease Research Laboratories; WBC, white blood cell.

Indd 32 Standard: cephalexin 50–75 mg/kg/day PO div tid OR For topical therapy if mild infection: mupirocin or Bullous impetigo1–3,5–7 (usually S aureus, including cloxacillin 50 mg/kg/day PO div qid OR amox/clav retapamulin ointment CA-MRSA) 45 mg/kg/day PO div tid (CII) CA-MRSA: clindamycin 30 mg/kg/day PO div tid OR TMP/SMX 8 mg/kg/day of TMP PO div bid; x 5–7 d (CIII) Bites, animal and human1,15–17 Amox/clav 45 mg/kg/day PO div tid (amox/clav 7:1, Consider rabies prophylaxis for animal bites (AI); consider Pasteurella multocida (animal), see Chapter 1, Aminopenicillins) x 5–10 d (AII); for tetanus prophylaxis Eikenella corrodens (human), hospitalized children, use ticar/clav 200 mg ticarcillin/ Human bites have a very high rate of infection (do not Staphylococcus spp and kg/day div q6h OR ampicillin and clindamycin (BII) close open wounds) Streptococcus spp S aureus coverage is only fair with amox/clav, ticar/clav, pip/tazo.

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