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H. Influenzae
Preferred Regimen
▸
Ceftriaxone
50 mg/kg IV q12h
If
Penicillin
Allergic
▸
Chloramphenicol
12.5 mg/kg IV q6h (max. 4 gm/day.)
Listeria Monocytogenes
Preferred Regimen
▸
Ampicillin
50 mg/kg IV q12h 2mg iv q4h
PLUS OR NOT
▸
gentamicin
2 mg/kg loading dose then 1.7kg/mg q8h
If
Penicillin
Allergic
▸
TMP-SMX
20 mg/kg/day q6–12h
Alternative Regimen
▸
Meropenem
2 mg IV q8h
N. meningitidis
Preferred Regimen
▸
Ceftriaxone
2 mg IV q12hx 7 days
▸
If Ȕ-Lactam Allergic
▸
Chloro
12.5 mg/kg (up to 1 gm) IV q6h
Alternative Regimen
▸
Meropenem
2 gm IV q8h
OR
Moxifloxacin
400 mg q24h
E. coli, other coliforms, or P. aeruginosa
Preferred Regimen
▸
Ceftazidime
2 gm IV q8h
OR
cefepime
2 gm IV q8h
PLUS OR NOT
▸
Gentamicin
S. pneumoniae
‡
Pen G MIC <0.1 mcg/mL
▸
Penicillin
G 4 million units IV q4h
OR
Ampicillin
2 gm IV
q4h
Alternative Regimen
▸
Ceftriaxone
2 gm IV q12h
OR
Chloramphenicol
1 gm IV q6h
Pen G MIC :0.1–1 mcg/mL
▸
Ceftriaxone
2 gm IV q12h
OR
Cefotaxime
2 gm IV q4–6h
Alternative Regimen
▸
Cefepime
2 gm IV q8h
OR
Meropenem
2 gm IV q8h
Pen G MIC :≥2 mcg/mL
▸
Vancomycin
500–750 mg IV q6h
PLUS
▸
Ceftriaxone
2 gm IV q12h
OR
Cefotaxime
2 gm IV q4–6h
Alternative Regimen
▸
Moxifloxacin
400 mg IV q24h
Ceftriaxone
MIC ≥ 1mcg/mL
▸
Vancomycin
500–750 mg IV q6h
PLUS
▸
Ceftriaxone
2 gm IV q12h
OR
Cefotaxime
2 gm IV q4–6h
Alternative Regimen
▸
Moxifloxacin
400 mg IV q24h
If MIC to ceftriaxone >2 mcg/mL, add RIF 600 mg 1x/day
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