Conversely, injection forms, though being painful and needing help of medical personnel for application, help to quickly achieve necessary concentration of preparation in blood buy antibiotics online Antibiotic is usually chosen in an empiric way (at random). But when choosing one is obligatory guided by definite rules.

Rch-antibiotic-recommendations

Infection
Initial antibiotics ( ) = maximum dose
CENTRAL NERVOUS SYSTEM / EYE
Encephalitis
SA (m2) ht (cm) x wt (kg)
Meningitis
add Benzylpenicillin 60 mg/kg iv 12H (wk 1 of l fe)
6-8H (wk 2-4 of life) 4H (>wk 4 of life) and Gentamicin
Meningococc prophylaxis Rifampicin 10 mg/kg (600 mg) po 12H for 2d
Orbital cellulitis
Flucloxacillin 50 mg/kg (2 g) iv 6H and
Cefotaxime 50 mg/kg (2 g) iv 6H
Periorbital cellulitis
Mild: Amoxycillin/Clavulanate (400/57 mg per 5 mL) Severe, or <5y + not Hib imm: As for orbital cellulitis above
CARDIOVASCULAR
Endocarditis prophylaxis Amoxycillin 50 mg/kg (2 g)
po 1 hr before LA, or iv with GA induction
GASTROINTEST NAL
Peritonitis
Ampicillin or Amoxycil in 50 mg/kg (2 g) iv 6H and
Gent 7.5 (6 if >10y) mg/kg (360 mg) iv daily and
Metronidazole 15 mg/kg (1 g) iv stat,
then 7.5 mg/kg (500 mg) iv 8H
Giardiasis
Metronidazole 30 mg/kg (2 g) po daily for 3d GENITOURINARY
Benzylpenicillin 60 mg/kg (2 g) iv 6H and
Gent 7.5 (6 if >10y) mg/kg (360 mg) iv daily not sick: Trimethoprim 4 mg/kg (150 mg) po 12H or
(8/40 mg per mL) 0.5 mL/kg (20 mL) po 12H UTI prophylaxis
Trimethoprim or Co-trimoxazole
at half treatment doses above, once daily
RESP RATORY
Tonsillitis
Consider no antibiotics (particularly if <4y) or
Penicillin V 250 (500 if >10y) mg po 12H for 10d
Otitis media
Consider no antibiotics for 48 hrs (if >2y) or
Amoxycillin 15 mg/kg (500 mg) po 8H
Pertussis
Erythromycin 12.5 mg/kg (500 mg) po 6H for 14d or
Clarithromycin 7.5 mg/kg (500 mg) po 12H for 7d Pneumonia
Mild: Amoxycillin 15 mg/kg (500 mg) po 8H or
Benzylpenicillin 60 mg/kg (2 g) iv 6H and
Flucloxacillin 50 mg/kg (2 g) iv 4H and
Gent 7.5 (6 if >10y) mg/kg (360 mg) iv daily and
Consider Azithromycin* 15 mg/kg (500 mg) iv stat, then 5 mg/kg (200 mg) iv daily
SKIN / SOFT TISSUE / BONE
Adenitis
Mild: Amoxycillin/Clavulanate (400/57 mg per 5 mL) Severe: Ticarcillin/Clavulanate 50 mg/kg (3 g) iv 6H
Cellulitis
Mild: Cephalexin 25 mg/kg (500 mg) po 6H Impetigo
Mupirocin 2% ointment 8H if localised or
Cephalexin 25 mg/kg (500 mg) po 12H
Head lice
Osteomyelitis/Septic arthr Flucloxacillin 50 mg/kg (2 g) iv 4-6H
<5y + not Hib imm: add Cefotaxime 50 mg/kg (2 g) iv 6-8H
SEPTICAEMIA
Septicaemia Normal CSF: Flucloxacillin 50 mg/kg (2 g) iv 4H and
(ie sick child)
Gent 7.5 (6 if >10y) mg/kg (360 mg) iv daily Unknown CSF: Flucloxacillin 50 mg/kg (2 g) iv 4H and
replace Flucloxacillin above with
or with suspected MRSA: Vancomycin 15 mg/kg (500 mg) iv 6H

Source: http://lyris.wch.org.au:81/read/attachment/76852/1/RCH%20antibiotic%20guideline%20card.pdf

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