Page 250 - HPP ANTIMICROBIAL GUIDELINE 2018

RESPIRATORY INFECTIONS

Infection/Condition Suggested Treatment Comments
Preferred Alternative

Community Acquired Pneumonia
Outpatient Amoxicillin 45-75mg/kg/24h PO q8h Erythromycin Macrolide antibiotics should be used
for 5-7 days Azithromycin if either mycoplasma or chlamydia
Clarithromycin pneumonia is suspected.
It may be added at any age if there
is no response to first-line empirical
Inpatient Benzylpenicillin 30-60mg/kg IV q6h therapy.
for 7 days
Azithromycin 15mg/kg IV loading
dose then 7.5mg/kg q24h if
considering atypical organisms.
Severe community acquired Ceftriaxone 50mg/kg q12h Cefuroxime 50mg/kg IV q8h
Investigate for TB if clinically
PLUS indicated
Cloxacillin 50mg/kg IV q6h
(if suspected Staphylococcus
aureus)

References:
1. Empiric Antibiotic Guidelines- Sydney Childrens Hospital 2012
2. The Management of Community-Acquired Pneumonia in Infants and Children Older Than 3 Months of Age: Clinical Practice Guidelines by the Pediatric
Infectious Diseases Society and the Infectious Diseases Society of America Clinical Infectious Diseases 2011;53(7):e25–e76
3. Paediatric Protocols For Malaysian Hospitals 3 st Edition 2012 Ministry Of Health Malaysia
4. Drug Doses Frank Shann 15 th edition.

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