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Suggested Treatment
Infection/Condition Comments
Preferred Alternative

Enterocolitis
Enterobacteriaceae , Enterococci, Ampicillin 50mg/kg/dose IV q8h Amoxicillin/clavulanate: Antibiotics should be
Bacteroides 30mg/kg/dose IV q8h adjusted with results of
PLUS C&S
Metronidazole 15mg/kg loading followed by OR
7.5mg/kg/dose IV q8h Cefotaxime 50mg/kg/dose q8h

PLUS
Metronidazole 15mg/kg loading
followed by 7.5mg/kg/dose IV q8h

References:

1. American Academy of Pediatrics: Pickering LK, BakerCJ, Kimberlin DW, Long SS, eds.Red Book 2012 Report of the committee on Infectious Diseases.
2. Paediatric Empyema Thoracis recommendations for management-Position Statement from the Thoracic society of Australia and New Zealand 2010.
rd
3. Manual of childhood infections-Blue Book 3 edition; Oxford University Press.
4. Guideline for the management of community acquired pneumonia in children; update 2011.Thorax October 2011: vol 66 (supplement 2)
5. Approach and management of empyema thoracis in children: a consensus guideline from the paediatric empyema working group 2013-MOH.

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