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Template:Pediatric pneumonia treatment
From WikEM
Newborn
- Hospitalized
- Ampicillin (80-90mg/kg/day) + gentamicin +/- cefotaxime
- Add vancomycin if MRSA a concern
- Add erythromycin (12.g mg/kg QID) if concern for chlamydia
- Ampicillin (80-90mg/kg/day) + gentamicin +/- cefotaxime
- Outpatient
- Initial outpatient management not recommended
1-3 Month
- Hospitalized
- Afebrile pneumonitis
- Erythromycin (10 mg/kg q6) or azithro (2.5 mg/kg q12)
- Febrile pneumonia
- Afebrile pneumonitis
- Add cefoTAXime (200mg/kg per day divided q8h)
- Outpatient
- erythromycin OR azithro PO
>3mo - 18 years
- Hospitalized (PICU/severely ill)
- Ceftriaxone IV AND vancomycin AND consider azithromycin
- Hospitalized (moderately ill)
- Fully immunized: Ampicillin (50mg/kg q6) IV
- Not fully immunized: Ceftriaxone IV
- Outpatient
- Amoxicillin (90 mg/kg divided BID) x 5 days PO
- Alternative: clindamycin OR azithromycin OR amoxicillin-clavulanate
