Template:Infectious Tenosynovitis Antibiotics: Difference between revisions
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''Treatment should cover [[S. aureus]], [[Streptococcus]], and [[MRSA]]'' | ''Treatment should cover [[S. aureus]], [[Streptococcus]], and [[MRSA]]'' | ||
*[[Vancomycin]] 15- | *[[Vancomycin]] 25-30 mg/kg IV loading dose then 15-20mg/kg IV q12hrs PLUS | ||
*[[Levofloxacin]] 750 mg IV once daily (avoid in pediatrics) | **[[Levofloxacin]] 750 mg IV once daily (avoid in pediatrics) OR | ||
*If suspicious of [[Gonococcal]] infection then 1g IV once daily | **[[Ceftriaxone]] 1g IV daily | ||
*If suspicious of [[Gonococcal]] infection then use [[Ceftriaxone]] 1g IV once daily AND [[Chlamydia]] coverage with | |||
**[[Azithromycin]] 1g PO once OR | |||
**[[Doxycycline]] 100mg PO twice daily | |||
====Animal Bites==== | ====Animal Bites==== | ||
[[Ampicillin/Sulbactam]] 3g (50mg/kg) IV four times daily | [[Ampicillin/Sulbactam]] 3g (50mg/kg) IV four times daily | ||
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*[[Ceftriaxone]] 100mg/kg IV once daily AND [[Metronidazole]] 7.5mg/kg IV four times daily OR | *[[Ceftriaxone]] 100mg/kg IV once daily AND [[Metronidazole]] 7.5mg/kg IV four times daily OR | ||
*[[Clindamycin]] 10mg/kg IV four times daily NA [[TMP/SMX]] 5mg/kg IV BID | *[[Clindamycin]] 10mg/kg IV four times daily NA [[TMP/SMX]] 5mg/kg IV BID | ||
*[[Ampicillin/Sulbactam]] 50 mg/kg IV four times daily | |||
====Mycobacteria related==== | |||
''Treatment should include usual therapy listed above in addition to:'' | |||
*[[Clarithromycin]] 500mg PO twice daily PLUS | |||
**[[Ethambutol]] 15 mg/kg PO once daily OR | |||
**[[Rifampin]] 600 mg PO once daily | |||
AND consult infectious disease | |||
Revision as of 15:55, 18 January 2019
Treatment should cover S. aureus, Streptococcus, and MRSA
- Vancomycin 25-30 mg/kg IV loading dose then 15-20mg/kg IV q12hrs PLUS
- Levofloxacin 750 mg IV once daily (avoid in pediatrics) OR
- Ceftriaxone 1g IV daily
- If suspicious of Gonococcal infection then use Ceftriaxone 1g IV once daily AND Chlamydia coverage with
- Azithromycin 1g PO once OR
- Doxycycline 100mg PO twice daily
Animal Bites
Ampicillin/Sulbactam 3g (50mg/kg) IV four times daily
Pediatrics
- Ceftriaxone 100mg/kg IV once daily AND Metronidazole 7.5mg/kg IV four times daily OR
- Clindamycin 10mg/kg IV four times daily NA TMP/SMX 5mg/kg IV BID
- Ampicillin/Sulbactam 50 mg/kg IV four times daily
Treatment should include usual therapy listed above in addition to:
- Clarithromycin 500mg PO twice daily PLUS
- Ethambutol 15 mg/kg PO once daily OR
- Rifampin 600 mg PO once daily
AND consult infectious disease