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 accepted source on pediatric antimicrobial remedy presents quick entry to trustworthy, up to the moment strategies for remedy of all infectious ailments in little ones. for every disorder, the authors supply a observation to aid healthiness care services pick out the easiest of all antimicrobial offerings. Drug descriptions conceal all antimicrobial brokers on hand at the present time and comprise entire information regarding dosing regimens. in accordance with becoming issues approximately overuse of antibiotics, this system comprises guidance on while to not prescribe antimicrobials. Key positive aspects: designed if you happen to look after childrens and are confronted with judgements each day; comprises remedy of parasitic infections and tropical medication; up-to-date anti-infective drug directory, whole with formulations and dosages; and balanced info on protection, efficacy, and tolerability with facts on charges and availability of drugs.

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

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Indd 34 Staphylococcal scalded skin Standard: oxacillin 150 mg/kg/day IV div q6h OR Burow’s or Zephiran compresses for oozing skin and syndrome6,32 cefazolin 100 mg/kg/day IV div q8h (CII) intertriginous areas CA-MRSA: clindamycin 30 mg/kg/day IV div q8h (CIII) Corticosteroids are contraindicated or vancomycin 40 mg/kg/day IV q8h (CIII) Rat-bite fever Penicillin G 100,000–200,000 U/kg/day IV div q6h (BII) Organisms are normal oral flora for rodents (Streptobacillus moniliformis, x 7–10 d; for endocarditis, ADD gentamicin x 4–6 wks Alternatives: doxycycline; 2nd and 3rd generation Spirillum minus)31 (CIII) cephalosporins (CIII) For mild disease, oral therapy with amox/clav (CIII) Standard: cephalexin 50–75 mg/kg/day PO div tid OR I&D when indicated; IV for serious infections.

2 million units IM if >27 kg, as a by the increased spectrum of activity that is not needed. single dose (AII) Once daily amoxicillin dosage: for children >3 years of For penicillin-allergic children: erythromycin (estolate at age and <40 kg: 750 mg once daily; for those >40 kg, 20–40 mg/kg/day PO div bid to qid; or ethylsuccinate 1,000 mg once daily. 94 Peritonsillar cellulitis or Clindamycin 30 mg/kg/day PO, IV, IM div q8h AND Consider incision and drainage for abscess abscess cefotaxime 150 mg/kg/day IV div q8h (BIII) Alternatives: meropenem or imipenem; PIP/TAZO; amox/ (group A streptococcus with clav for convalescent oral therapy (BIII) No useful data on benefits of steroids mixed oral flora)89,90 Empiric: meropenem 60 mg/kg/day div q8h (or 120 Anecdotal reports suggest metronidazole may be Lemierre syndrome (Fusobacterium necrophorum)88 mg/kg/day div q8h for CNS metastatic foci) (AIII) OR effective for apparent failures with other agents.

Infants and children Usual therapy: amoxicillin 90 mg/kg/day PO div bid; See Chapter 11 for dosages. High-dosage amoxicillin (pneumococcus, H influenzae failures will be caused by either beta-lactamase– (90 mg/kg/day) should be used for empiric therapy non-type b, Moraxella most producing Haemophilus (or Moraxella) or highly in most areas, given the prevalence of pen-R common)69–71 pen-R pneumococcus pneumococci, and resurgence of non-Prevnar® a) For pen-R pneumococci: high-dosage amoxicillin vaccine strains that are pen-R.

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