If severe or refractory

1. Clindamycin 8-20 mg/kg/day PO divided qid (for penicillin allergic) [B] Easy dose: 5 mg/kg/dose PO qid

Maximum: 300 mg/dose

Available in suspension of 75 mg/5 mL

2. Cefuroxime axetil (Ceftin) 20-30 mg/kg/day PO divided bid [B] Easy dose: 20 mg/kg/day = 10 mg/kg/dose PO bid Maximum: 250 mg/dose

Available in suspension of 125 mg/5 mL

3. Cefpodoxime (Vantin) 5 mg/kg/dose PO bid [B] Maximum: 200 mg/dose

Available in suspensions of 50 mg and 100 mg/5 mL

4. Amoxicillin/clavulanate (Augmentin) 20-40 mg/kg/day (as amoxicillin) PO divided tid [B] Easy dose: 30 mg/kg/day = 10 mg/kg/dose PO tid

Maximum: 500 mg per dose

Available in suspensions of 125 mg and 250 mg amoxicillin/5 mL


1. Sexual history essential to help rule out gonococcus (see Genital Tract Infections—Gonorrhea). Lab tests include latex agglutination (rapid strep test), Gram stain and/or culture.

If prepubertal, treat for group A Streptococcus only.

2. If patient exhibits signs or symptoms of severe swelling/edema (e.g., voice change, unable to swallow saliva), consider adding prednisone (40 mg PO qd * 5 days) to the antibiotic regimen.

1. Penicillin V potassium (Pen-VEE K) 250-500 mg PO tid-qid [B]

2. Erythromycin 250 mg PO qid OR 500 mg bid [B, except estolate contraindicated]

3. Erythromycin ethyl succinate (EES) 400 mg PO qid OR 30-50 mg/kg/day PO divided qid [B]

4. Azithromycin (Zithromax) 500 mg PO initial dose, then 250 mg PO qd for 4 days [B]

5. Clarithromycin (Biaxin) 250-500 mg PO bid [C]

How To Get Rid Of Bed Bugs

How To Get Rid Of Bed Bugs

If you seriously want know how to get rid of bed bugs, then this may be the most important letter you'll ever read!... Discover How To Solve Your Dilemma In What You Thought To Be Your Dream Vacation And Easily Taking The First Step To Conquer The Bed Bugs Trauma You May Have At This Moment! It doesn't matter, if you have never have any ideas on how to getting rid of bed bugs and how to banish it quickly in the shortest time possible, then this golden guides will show you everything steps you need to take against bed bugs banishing!

Get My Free Ebook

Post a comment