Group B streptococcal infection medical therapy: Difference between revisions
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| '''Antibiotic agent''' || '''Dosage''' | | '''Antibiotic agent''' || '''Dosage''' | ||
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| [[Amikacin]] || 0-7 days: 15-20 mg/kg <br> 8-28 days: 30 mg/kg <br> Infants > 28 days: 20-30 mg/kg | |||
|- | |- | ||
| [[Ampicillin]] || 0-7 days: 150 mg/kg <br> 8-28 days: 200 mg/kg <br> Infants > 28 days: 300 mg/kg | | [[Ampicillin]] || 0-7 days: 150 mg/kg <br> 8-28 days: 200 mg/kg <br> Infants > 28 days: 300 mg/kg | ||
|- | |- | ||
| [[Cefotaxime]] || | | [[Cefotaxime]] ||0-7 days: 100-150 mg/kg <br> 8-28 days: 150-200 mg/kg <br> Infants > 28 days: 225-300 mg/kg | ||
|- | |- | ||
| [[ | | [[Ceftazidime]] ||0-7 days: 100-150 mg/kg <br> 8-28 days: 150 mg/kg <br> Infants > 28 days: 150 mg/kg | ||
|- | |- | ||
| [[ | | [[Ceftriaxone]] ||Infants > 28 days: 80-100 mg/kg | ||
|- | |- | ||
| [[ | | [[Gentamicin]] ||0-7 days: 5 mg/kg <br> 8-28 days: 7.5 mg/kg <br> Infants > 28 days: 7.5 mg/kg | ||
|- | |- | ||
| [[ | | [[Penicillin]] ||0-7 days: 0.15 mg/kg <br> 8-28 days: 0.2 mg/kg <br> Infants > 28 days: 0.3 mg/kg | ||
|- | |- | ||
| [[ | | [[Tobramycin]] ||0-7 days: 5 mg/kg <br> 8-28 days: 7.5 mg/kg <br> Infants > 28 days: 7.5 mg/kg | ||
|- | |- | ||
| [[ | | [[Vancomycin]] ||0-7 days: 20-30 mg/kg <br> 8-28 days: 30-45 mg/kg <br> Infants > 28 days: 60 mg/kg | ||
|- | |- | ||
|} | |} | ||
Revision as of 21:58, 19 August 2014
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Group B Streptococcal Infection Microchapters |
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Differentiating Group B Streptococcal Infection from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Group B streptococcal infection medical therapy On the Web |
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American Roentgen Ray Society Images of Group B streptococcal infection medical therapy |
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Directions to Hospitals Treating Group B streptococcal infection |
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Risk calculators and risk factors for Group B streptococcal infection medical therapy |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rim Halaby, M.D. [2]
Overview
Medical Therapy in Meningitis
Empirical Antibiotic Therapy in Neonatal Meningitis
GBS should be suspected as a causative agent for bacterial meningitis in infants less than two years of age for whom empirical antibiotic therapy should be initiated immediately.
| Age | Possible pathogens causing the bacterial meningitis | Empirical treatment |
| < 1 month | Streptococcus agalactiae Escherichia coli Listeria monocytogenes Klebsiella |
Ampicillin + cefotaxime OR Ampicillin + aminoglycoside |
| 1-23 months | Streptococcus pneumoniae Neisseria meningitidis Streptococcus agalactiae Haemophilus influenzae E. coli |
Vancomycin + third generation cephalosporin |
Targeted Antibiotic Therapy in Neonatal Meningitis
| Recommended therapy for GBS meningitis | Alternative therapy for GBS meningitis |
| Ampicillin OR Penicillin Consider adding an aminoglycoside |
Third generation cephalosporin (Ceftriaxone or cefotaxime) |
Recommended Dosage of Antibiotics
| Antibiotic agent | Dosage |
| Amikacin | 0-7 days: 15-20 mg/kg 8-28 days: 30 mg/kg Infants > 28 days: 20-30 mg/kg |
| Ampicillin | 0-7 days: 150 mg/kg 8-28 days: 200 mg/kg Infants > 28 days: 300 mg/kg |
| Cefotaxime | 0-7 days: 100-150 mg/kg 8-28 days: 150-200 mg/kg Infants > 28 days: 225-300 mg/kg |
| Ceftazidime | 0-7 days: 100-150 mg/kg 8-28 days: 150 mg/kg Infants > 28 days: 150 mg/kg |
| Ceftriaxone | Infants > 28 days: 80-100 mg/kg |
| Gentamicin | 0-7 days: 5 mg/kg 8-28 days: 7.5 mg/kg Infants > 28 days: 7.5 mg/kg |
| Penicillin | 0-7 days: 0.15 mg/kg 8-28 days: 0.2 mg/kg Infants > 28 days: 0.3 mg/kg |
| Tobramycin | 0-7 days: 5 mg/kg 8-28 days: 7.5 mg/kg Infants > 28 days: 7.5 mg/kg |
| Vancomycin | 0-7 days: 20-30 mg/kg 8-28 days: 30-45 mg/kg Infants > 28 days: 60 mg/kg |