Download 2010-2011 Nelson's Pocket Book of Pediatric Antimicrobial by John S. Bradley MD, John D. Nelson MD Emeritus PDF

By John S. Bradley MD, John D. Nelson MD Emeritus

This best-selling and general source on pediatric antimicrobial remedy presents rapid entry to trustworthy, up to date thoughts for therapy of all infectious ailments in teenagers. for every illness, the authors supply a remark to assist future health care services decide on the simplest of all antimicrobial offerings. Drug descriptions disguise all antimicrobial brokers to be had this present day and comprise whole information regarding dosing regimens. in accordance with turning out to be issues approximately overuse of antibiotics, this system contains instructions on whilst to not prescribe antimicrobials. Key positive aspects: designed if you look after childrens and are confronted with judgements on a daily basis; comprises therapy of parasitic infections and tropical medication; up-to-date anti-infective drug directory, whole with formulations and dosages; and balanced info on security, efficacy, and tolerability with facts on bills and availability of drugs.

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Extra info for 2010-2011 Nelson's Pocket Book of Pediatric Antimicrobial Therapy

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AIII) 21 d. CT scan to confirm cure. 5 mg/kg/day IM, IV, or amikacin 15–20 mg/kg/ alternatives (no clinical data). Very poor outcomes. day IM, IV div q8h x 10–14 d (AIII) Ceftriaxone 50 mg/kg q24h IV, IM (AIII) Treatment course x 10–14 d – Staphylococcal Vancomycin 40 mg/kg/day IV div q8h pending susceptibility testing; oxacillin 150 mg/kg/day IV div q6h if susceptible (AIII) – Empiric therapy following Vancomycin 40 mg/kg/day IV div q8h AND ceftazidime open globe injury 150 mg/kg/day IV div q8h (AIII) Endophthalmitis56,57 NOTE: Subconjunctival/subtenon antibiotics usually needed; steroids commonly used; Refer to ophthalmologist; vitrectomy may be necessary for requires anterior chamber or vitreous tap for microbiological diagnosis advanced endophthalmitis Dacryocystitis No antibiotic usually needed; oral therapy for more Warm compresses; may require surgical probing of symptomatic infection, based on Gram stain and nasolacrimal duct culture of pus; topical therapy as for conjunctivitis may be helpful Conjunctivitis, herpetic54,55 Trifluridine 1% ophth soln OR acyclovir 3% ophth Refer to ophthalmologist.

If more than 1 day of therapy is missed, the entire course is restarted. Reliable follow-up important if only a single dose of benzathine penicillin given Evaluation to determine type and duration of therapy: CSF analysis (VDRL, cell count, protein) CBC and platelet count. Other tests as clinically indicated, including long-bone radiographs, chest radiograph, liver function tests, cranial ultrasound, ophthalmologic exam, and hearing test (auditory brainstem response) Proven or highly probable disease: (1) abnormal physical exam; (2) serum quantitative non treponemal serologic titer that is 4-fold higher than the mother’s titer; or (3) a positive darkfield or fluorescent antibody test of body fluid(s).

E. OROPHARYNGEAL INFECTIONS Sinusitis, acute Same antibiotic therapy as for AOM (amoxicillin 90 mg/ For more severe symptoms, use high-dosage amox/clav to (H influenzae non–type b, kg/day PO div bid) (BIII). indd 42 Pharyngitis Amoxicillin 50–75 mg/kg/day PO, either once daily, bid Amoxicillin displays better gastrointestinal absorption (group A streptococcus) or tid x 10 d OR penicillin V 50–75 mg/kg/day PO div than oral phenoxymethyl penicillin; the suspension is 7,91–93 tonsillopharyngitis bid or tid, OR benzathine penicillin 600,000 units IM better tolerated.

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