NNU: Flucloxacillin + Gentamicin Benzylpenicillin + Gentamicin ...
NNU: Flucloxacillin + Gentamicin Benzylpenicillin + Gentamicin ...
NNU: Flucloxacillin + Gentamicin Benzylpenicillin + Gentamicin ...
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Paediatric Empirical<br />
Antimicrobial Card<br />
Expires: August 2012<br />
SEPSIS<br />
CNS<br />
RESPIRATORY<br />
Condition<br />
Early (48 hours) neonatal sepsis<br />
Other: Amoxicillin + Cefotaxime<br />
Infant/child sepsis<br />
Cefotaxime<br />
If toxin production suspected add Clindamycin IV<br />
Immune compromise sepsis Tazocin + stat <strong>Gentamicin</strong><br />
Neonatal/infant 5years<br />
Royal Devon and Exeter<br />
NHS Foundation Trust<br />
Oral Amoxicillin<br />
IV Co-amoxiclav if severe/not tolerating oral<br />
Oral Azithromycin<br />
[+ Amoxicillin if Strep pneumo suspected] or<br />
IV Co-amoxiclav + PO Azithromycin if severe
Paediatric Empirical<br />
Antimicrobial Card<br />
Expires: August 2012<br />
Condition<br />
First-line regimen<br />
Royal Devon and Exeter<br />
NHS Foundation Trust<br />
GU<br />
ENT<br />
BONE/JOINT/<br />
SOFT TISSUE<br />
Infant 3 months: Pyelonephritis<br />
(i.e. fever or loin pain)<br />
>3 months: Cystitis<br />
Uncomplicated otitis media<br />
Bacterial tonsilitis with exudate<br />
Suspected bacterial lymphadenitis<br />
Peri-orbital (preseptal) cellulitis<br />
Orbital cellulitis<br />
Acute soft tissue infection<br />
Acute bone/joint infection<br />
IV Amoxicillin + <strong>Gentamicin</strong><br />
Oral Co-amoxiclav<br />
If vomiting or no response to orals after 24 hours<br />
IV Amoxicillin + <strong>Gentamicin</strong><br />
Oral Trimethoprim<br />
Symptomatic measures<br />
Consider oral Amoxicillin in infants<br />
Oral Penicillin V<br />
IV Co-amoxiclav<br />
Antibiotics not required for viral infections<br />
IV Co-amoxiclav<br />
IV Clindamycin + Cefotaxime<br />
Oral <strong>Flucloxacillin</strong><br />
If necrotising infection or toxin production suspected<br />
IV flucloxacillin + IV clindamycin<br />
Amoxicillin + <strong>Flucloxacillin</strong>
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