Download 2010-2011 Nelson's Pocket Book of Pediatric Antimicrobial by John S. Bradley MD, John D. Nelson MD Emeritus PDF

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

This best-selling and generic source on pediatric antimicrobial treatment presents immediate entry to trustworthy, up to date ideas for therapy of all infectious illnesses in teenagers. for every illness, the authors offer a statement to assist healthiness care prone decide upon the easiest of all antimicrobial offerings. Drug descriptions conceal all antimicrobial brokers on hand this day and comprise whole information regarding dosing regimens. in accordance with growing to be matters approximately overuse of antibiotics, this system contains directions on whilst to not prescribe antimicrobials. Key gains: designed if you happen to look after kids and are confronted with judgements each day; comprises therapy of parasitic infections and tropical drugs; up to date anti-infective drug directory, entire with formulations and dosages; and balanced info on protection, efficacy, and tolerability with facts on charges and availability of drugs.

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

This best-selling and time-honored source on pediatric antimicrobial treatment presents immediate entry to trustworthy, up to the moment innovations for remedy of all infectious illnesses in young children. for every ailment, the authors supply a statement to assist future health care prone choose the simplest of all antimicrobial offerings.

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

Example text

I Nafcillin preferred for meningitis (increase to 50 mg/kg/dose) j Single dose given once orally at 2–3 days of age if mother received intrapartum single-dose NVP, or given at birth if mother did not receive intrapartum single-dose NVP. If maternal dose is given <2 hours before delivery, infant dose should be administered as soon as possible following birth. Use of antiretroviral drugs other than zidovudine cannot be recommended in premature infants due to lack of dosing and safety data. indd 28 1/28/10 3:08 PM 29 C.

Once daily for days 2–5 of treatment (AII) also be successful with: amox/clav, cefdinir, cefpodoxime Empiric oral outpatient therapy for less severe illness: or cefuroxime high dosage amoxicillin 80–100 mg/kg/day PO div q8h Levofloxacin is an alternative (BI)115 but due to cartilage (NOTq12h); for Mycoplasma, ADD a macrolide as toxicity concerns, should not be first-line therapy. above (BIII) Pneumonia: Communityacquired, lobar consolidation – Moderate to severe illness Empiric therapy: ceftriaxone 50–75 mg/kg/day q24h or Tracheal aspirate or bronchoalveolar lavage for Gram (pneumococcus; group A cefotaxime 150 mg/kg/day div q8h (AI) stain/culture when indicated streptococcus; S aureus, For suspected CA-MRSA, use vancomycin 40–60 mg/ Check vancomycin serum concentrations and renal including CA-MRSA; or kg/day (AIII) function, particularly at the higher dosage for CA-MRSA.

Indd 35 – Other bacteria See Chapter 7 for preferred antibiotics. – Gonococcal arthritis or Ceftriaxone 50 mg/kg IV, IM q24h (BII); OR (if susceptible) PO cefixime 8 mg/kg/day (CII) as a single daily dose for tenosynovitis41,42 penicillin G 100,000 U/kg/day IV div q6h (AII); x 7 d penicillin-resistant strains. Quinolone resistance is increasing. – Infants (S aureus, including Empiric therapy: clindamycin (to cover CA-MRSA). For Oral therapy options: CA-MRSA; group A serious infections, ADD cefazolin to provide better For CA-MRSA: clindamycin OR linezolid40 streptococcus; Kingella MSSA coverage and add Kingella coverage For MSSA: cephalexin OR dicloxacillin kingae; in unimmunized or For CA-MRSA: clindamycin 30 mg/kg/day IV div q8h or For Kingella, most penicillins or cephalosporins (but not immune-compromised vancomycin 40 mg/kg/day IV q8h clindamycin) children: pneumococcus, For MSSA: oxacillin 150 mg/kg/day IV div q6h OR H influenzae type b) cefazolin 100 mg/kg/day IV div q8h Total therapy (IV plus PO) for 3 wks with normal ESR; – Children (S aureus, including For Kingella: cefazolin, ampicillin, or ceftriaxone 50 mg/ low-risk, non-hip arthritis may respond to a 10-day CA-MRSA; group A kg/day IV, IM q24h course.

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