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Created page with "__NOTOC__ {{Meningitis}} {{CMG}}; '''Associate Editor(s)-In-Chief:''' {{CZ}} ==Medical Therapy== ===Pharmacotherapy=== ====Empiric Treatment==== * Do not wait for the resu..." |
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{| style="margin: 0 0 0em 0em; border: 1px solid #696969; float: left; width: | {| style="margin: 0 0 0em 0em; border: 1px solid #696969; float: left; width:32em" cellpadding="0" cellspacing="0"; | ||
! style="padding: 0 5px; font-size: 100%; background: #F8F8FF" align=center | ''{{fontcolor|#6C7B8B| | ! style="padding: 0 5px; font-size: 100%; background: #F8F8FF" align=center | ''{{fontcolor|#6C7B8B|H. Influenzae}}'' | ||
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! style="padding: 0 5px; font-size: 80%; background: #F5F5F5" align=left | ''Preferred Regimen'' | ! style="padding: 0 5px; font-size: 80%; background: #F5F5F5" align=left | ''Preferred Regimen'' | ||
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| style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | ▸ '''''[[ | | style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | ▸ '''''[[Ceftriaxone]] 50 mg/kg IV q12h''''' | ||
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! style="padding: 0 5px; font-size: 80%; background: #F5F5F5" align=left | ''If [[Penicillin]] Allergic'' | |||
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| style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | ▸ '''''[[ | | style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | ▸ '''''[[Chloramphenicol]] 12.5 mg/kg IV q6h (max. 4 gm/day.)''''' | ||
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! style="padding: 0 5px; font-size: 100%; background: #F8F8FF" align=center | ''{{fontcolor|#6C7B8B|Listeria Monocytogenes}}'' | |||
! style="padding: 0 5px; font-size: | |||
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! style="padding: 0 5px; font-size: 80%; background: #F5F5F5" align=left | ''Preferred Regimen'' | |||
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| style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | | | style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | ▸ '''''[[Ampicillin ]] 50 mg/kg IV q12h 2mg iv q4h''''' | ||
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| style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | | | style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | ''PLUS OR NOT'' | ||
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| style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | ▸ '''''[[gentamicin]] 2 mg/kg loading dose then 1.7kg/mg q8h''''' | |||
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! style="padding: 0 5px; font-size: 80%; background: #F5F5F5" align=left | ''If [[Penicillin]] Allergic'' | |||
! style="padding: 0 5px; font-size: 80%; background: #F5F5F5" align=left | '' | |||
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| style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | ▸ '''''[[ | | style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | ▸ '''''[[TMP-SMX]] 20 mg/kg/day q6–12h''''' | ||
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! style="padding: 0 5px; font-size: 80%; background: #F5F5F5" align=left | ''Alternative Regimen'' | |||
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| style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | ▸ '''''[[ | | style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | ▸ '''''[[Meropenem]] 2 mg IV q8h''''' | ||
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| | | style="padding: 0 5px; font-size: 100%; background: #F8F8FF" align=center | ''{{fontcolor|#6C7B8B|N. meningitidis}}'' | ||
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! style="padding: 0 5px; font-size: 80%; background: #F5F5F5" align=left | ''Preferred Regimen'' | ! style="padding: 0 5px; font-size: 80%; background: #F5F5F5" align=left | ''Preferred Regimen'' | ||
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| style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | ▸ '''''[[ | | style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | ▸ '''''[[Ceftriaxone]] 2 mg IV q12hx 7 days''''' | ||
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! style="padding: 0 5px; font-size: 80%; background: #F5F5F5" align=left | ▸ '''''If Ȕ-Lactam Allergic''''' | |||
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| style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | ▸ '''''[[ | | style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | ▸ '''''[[Chloro]] 12.5 mg/kg (up to 1 gm) IV q6h''''' | ||
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! style="padding: 0 5px; font-size: 80%; background: #F5F5F5" align=left | ''Alternative Regimen'' | ! style="padding: 0 5px; font-size: 80%; background: #F5F5F5" align=left | ''Alternative Regimen'' | ||
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| style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | ▸ '''''[[Meropenem]] 2 gm IV q8h''''' <BR>''OR''<BR>'''''[[Moxifloxacin]] 400 mg q24h''''' | |||
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| style="padding: 0 5px; font-size: 100%; background: #F8F8FF" align=center | ''{{fontcolor|#6C7B8B|E. coli, other coliforms, or P. aeruginosa}}'' | |||
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! style="padding: 0 5px; font-size: 80%; background: #F5F5F5" align=left | ''Preferred Regimen'' | |||
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| style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | ▸ '''''[[Ceftazidime]]'''''2 gm IV q8h <BR>''OR''<BR>'''''[[cefepime]] 2 gm IV q8h''''' | |||
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| style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | ''PLUS OR NOT'' | |||
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! style="padding: 0 5px; font-size: | | style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | ▸ '''''[[Gentamicin]]''''' | ||
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{| style="margin: 0 0 0em 0em; border: 1px solid #696969; float: left; width:32em" cellpadding="0" cellspacing="0"; | |||
! style="padding: 0 5px; font-size: 100%; background: #F8F8FF" align=center | ''{{fontcolor|#6C7B8B|S. pneumoniae}}''<sup>‡<sup> | |||
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! style="padding: 0 5px; font-size: 80%; background: #F5F5F5" align=left | ''Pen G MIC <0.1 mcg/mL '' | |||
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| style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | | | style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | ▸ '''''[[Penicillin]] G 4 million units IV q4h'''''<BR>''OR''<BR>'''''[[Ampicillin]] 2 gm IV | ||
q4h''''' | |||
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| style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | ▸ '''''[[ | ! style="padding: 0 5px; font-size: 80%; background: #DCDCDC" align=left | ''Alternative Regimen'' | ||
|- | |||
| style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | ▸ '''''[[Ceftriaxone]] 2 gm IV q12h''''' <BR>''OR''<BR> | |||
''''' [[Chloramphenicol]] 1 gm IV q6h''''' | |||
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! style="padding: 0 5px; font-size: 80%; background: #F5F5F5" align=left | ''Pen G MIC :0.1–1 mcg/mL'' | |||
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| style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | ▸ '''''[[ | | style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | ▸ '''''[[Ceftriaxone]] 2 gm IV q12h''''' <BR>''OR''<BR>'''''[[Cefotaxime]] 2 gm IV q4–6h''''' | ||
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! style="padding: 0 5px; font-size: 80%; background: #DCDCDC" align=left | ''Alternative Regimen'' | |||
! style="padding: 0 5px; font-size: | |||
|- | |- | ||
| style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | ▸ '''''[[Cefepime]] 2 gm IV q8h'''''<BR>''OR''<BR>'''''[[Meropenem]] 2 gm IV q8h''''' | |||
|- | |||
! style="padding: 0 5px; font-size: 80%; background: #F5F5F5" align=left | ''Pen G MIC :≥2 mcg/mL'' | |||
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| style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | ▸ '''''[[Vancomycin ]] | | style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | ▸ '''''[[Vancomycin]] 500–750 mg IV q6h''''' | ||
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| style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | | | style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | ''PLUS'' | ||
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| style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | ▸ '''''[[ | | style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | ▸ '''''[[Ceftriaxone]] 2 gm IV q12h''''' <BR>''OR''<BR> '''''[[Cefotaxime]] 2 gm IV q4–6h''''' | ||
|- | |- | ||
! style="padding: 0 5px; font-size: 80%; background: #DCDCDC" align=left | ''Alternative Regimen'' | |||
! style="padding: 0 5px; font-size: | |||
|- | |- | ||
| style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | ▸ '''''[[Moxifloxacin]] 400 mg IV q24h''''' | |||
| style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | ▸ '''''[[ | |||
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! style="padding: 0 5px; font-size: 80%; background: #F5F5F5" align=left | ''[[Ceftriaxone]] MIC ≥ 1mcg/mL''''' | |||
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| style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | ▸ '''''[[Vancomycin]] 500–750 mg IV q6h''''' | |||
|- | |- | ||
| style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | | | style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | ''PLUS'' | ||
|- | |- | ||
| style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | ▸ '''''[[ | | style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | ▸ '''''[[Ceftriaxone]] 2 gm IV q12h''''' <BR>''OR''<BR> '''''[[Cefotaxime]] 2 gm IV q4–6h''''' | ||
|- | |- | ||
! style="padding: 0 5px; font-size: 80%; background: #DCDCDC" align=left | ''Alternative Regimen'' | |||
|- | |- | ||
| style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | ▸ '''''[[ | | style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | ▸ '''''[[Moxifloxacin]] 400 mg IV q24h'''''<BR>'''''If MIC to ceftriaxone >2 mcg/mL, add RIF 600 mg 1x/day''''' | ||
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Latest revision as of 23:45, 14 January 2014
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