Sandbox subdural empyema: Difference between revisions

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(Created page with "==Antimicrobial Regimen – Empiric Therapy== ===Infants < 1 month=== ===Infants 1–3 months=== ===Infants > 3 months or adults < 55 years (immunocompetent)=== ===...")
 
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==Antimicrobial Regimen – Empiric Therapy==
==Antimicrobial Regimen – Empiric Therapy==


 
{{rx|Infants < 1 month}}
 
* Ampicillin 200 mg/kg/day IV, q4h {{and}}
===Infants < 1 month===
* Cefotaxime 200 mg/kg/day IV, q6h
 
 
 
===Infants 1–3 months===
 
 
===Infants > 3 months or adults < 55 years (immunocompetent)===
 
 
 
===Adults ≥ 55 years, alcoholics, or with debilitating illness===
 
 
 
 
===Hospital-acquired, post-neurosurgery, or post-traumatic meningitis; impaired cell-mediated immunity, neutropenia===
 
 
 
 
 
 
 
 
 
 
{{rx|Preferred Regimen}}
* [[Ciprofloxacin]] 400 mg IV q8h
</li>
</li>
{{rx|Alternative Regimen}}
{{rx|Infants 1–3 months}}
* [[Piperacillin-Tazobacbam]] 3.375g IV q4h {{and}}
* Ampicillin 200 mg/kg/day IV, q4h {{and}}
* [[Tobramycin]] 3–5 mg/kg/day IV q8h
* Cefotaxime 200 mg/kg/day IV, q6h
</li>
</li>
{{rx|Other Regimens for Susceptible Pseudomonas}}
{{rx|Infants > 3 months or adults < 55 years (immunocompetent)}}
* [[Imipenem]] 0.5 g IV q6h {{or}} [[Meropenem]] 1 g IV q8h {{or}} [[Cefepime]] 2 g IV q12h {{or}} [[Ceftazidime]] 2 g IV q8h
* Ampicillin 200 mg/kg/day IV, q4h {{and}}
* Cefotaxime 200 mg/kg/day IV, q6h
</li>
{{rx|Adults ≥ 55 years, alcoholics, or with debilitating illness}}
* Ampicillin 200 mg/kg/day IV, q4h {{and}}
* Cefotaxime 200 mg/kg/day IV, q6h
</li>
{{rx|Impaired cell-mediated immunity or hospital-acquired, post-neurosurgery, or post-traumatic meningitis}}
* Ampicillin 200 mg/kg/day IV, q4h {{and}}
* Cefotaxime 200 mg/kg/day IV, q6h
</li>
</li>

Revision as of 17:20, 27 April 2015

Antimicrobial Regimen – Empiric Therapy

<li class="mw-collapsible" data-expandtext="Infants < 1 month" data-collapsetext="Infants < 1 month" style="text-indent: 0px;">

  • Ampicillin 200 mg/kg/day IV, q4h AND
  • Cefotaxime 200 mg/kg/day IV, q6h
    • Ampicillin 200 mg/kg/day IV, q4h AND
    • Cefotaxime 200 mg/kg/day IV, q6h
  • 3 months or adults < 55 years (immunocompetent)" data-collapsetext="Infants > 3 months or adults < 55 years (immunocompetent)" style="text-indent: 0px;">
    • Ampicillin 200 mg/kg/day IV, q4h AND
    • Cefotaxime 200 mg/kg/day IV, q6h
    • Ampicillin 200 mg/kg/day IV, q4h AND
    • Cefotaxime 200 mg/kg/day IV, q6h
    • Ampicillin 200 mg/kg/day IV, q4h AND
    • Cefotaxime 200 mg/kg/day IV, q6h