Page 251 - HPP ANTIMICROBIAL GUIDELINE 2018
P. 251

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.






 HPP AMG   Respiratory Infections                                  120
   246   247   248   249   250   251   252   253   254   255   256