Dental Infections Periapical and Periodontal Abscesses

1. Clindamycin (Cleocin) 300 mg PO qid [B]

2. Erythromycin 500 mg PO qid [B, except estolate contraindicated]

3. Amoxicillin/clavulanic acid (Augmentin) 875/125 mg PO bid OR 500/125 mg PO tid [B]

Course: 7-10 days Organisms: oral flora

Epiglottitis

A. CHILDREN

2. Cefotaxime (Claforan) 50 mg/kg IV q8h [B]

3. Ceftriaxone (Rocephin) 50 mg/kg IV qd [B]

Organisms: H. influenzae, S. pyogenes, S. pneumoniae, S. aureus

B. ADULTS

Organisms: group A Strep, H. influenzae Ludwig's Angina

Note: Requires admission to the hospital, usually to the ICU, for airway monitoring and management.

Regimen A (Note two drug therapy)

Penicillin G 4 million units IV q4h [B]

(Administer over 1 h. Rapid infusion may cause seizures.)

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