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Download PDF by John S. Bradley MD, John D. Nelson MD Emeritus, Dr.: 2012-2013 Nelson's Pediatric Antimicrobial Therapy, 19th

By John S. Bradley MD, John D. Nelson MD Emeritus, Dr. David W Kimberlin MD FAAP, Dr. John A.D. Leake MD MPH, Dr. Paul E Palumbo MD, Dr. Pablo J Sanchez MD, Dr. Jason Sauberan PharmD, Dr. William J Steinbach

This bestselling and frequent source on pediatric antimicrobial treatment offers immediate entry to trustworthy innovations for therapy of all infectious illnesses in children.

For each one disorder, the authors offer a observation to assist wellbeing and fitness care prone pick out the easiest of all antimicrobial offerings. The inquiring doctor can instantly hyperlink to the proof for the advice within the book or cellular model. Drug descriptions disguise all antimicrobial brokers on hand at the present time and contain entire information regarding dosing regimens.

In reaction to turning out to be issues approximately overuse of antibiotics, the ebook contains directions on while to not prescribe antimicrobials.

Key gains in nineteenth Edition!

- up to date information about the energy and the extent of facts for all therapy strategies

- New bankruptcy on antibiotic treatment for overweight young children

- New bankruptcy on antimicrobial prophylaxis and prevention of symptomatic an infection

- comprises remedy of parasitic infections and tropical drugs.

- up to date anti-infective drug directory, entire with formulations and dosages.

- Balanced details on protection, efficacy and tolerability with facts on expenditures and availability of substances

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Additional info for 2012-2013 Nelson's Pediatric Antimicrobial Therapy, 19th Edition

Example text

Amoxicillin 30–40 mg/kg/day PO div q8h for 10 days 2012–2013 Nelson’s Pediatric Antimicrobial Therapy — 23 – S aureus61 Condition Therapy (evidence grade) See Table 5B for Neonatal Dosages Parotitis, suppurative65 Oxacillin/nafcillin IV AND gentamicin IV, IM for 10 days; consider vancomycin if MRSA suspected (AIII) Usually staphylococcal but occasionally coliform Antimicrobial regimen without incision/drainage is adequate in >75% of cases. 66 – Aspiration pneumonia67 Clindamycin IV, IM AND gentamicin IV, IM for 7–10 days (AIII) Mild aspiration episodes may not require antibiotic therapy.

Fail second-line therapy. Caution: up to 40% of pen-R pneumococci are also macrolide-resistant b) For Haemophilus strains that are beta-lactamase– positive, the following oral antibiotics offer better in vitro activity than amoxicillin: amox/ clav, cefdinir, cefpodoxime, cefuroxime, ceftriaxone IM, levofloxacin Otitis, chronic suppurative (P aeruginosa, S aureus, including CA-MRSA, and other respiratory tract/skin flora)76,77 Topical antibiotics: fluoroquinolone (ciprofloxacin, ofloxacin, besifloxacin) with or without steroid (BIII) Cleaning of canal, view of tympanic membrane (TM), for patency; cultures important Presumed middle ear drainage through open TM; possible aminoglycoside toxicity if neomycin-containing topical therapy used78 Other topical fluoroquinolones with/without steroids available 48 — Chapter 6.

Since optimal prophylactic regimens have not been formally established, consultation with a pediatric HIV specialist is recommended (BIII). Perform HIV-1 DNA PCR or RNA assays at 14–21 days, 1–2 mo, and 4–6 mo (AI). Initiate prophylaxis for pneumocystis pneumonia at 6 wk of age if HIV infection not yet excluded (AII). Influenza A and B viruses50,51 Term neonates from birth to 3 mo: treatment: 6 mg/kg/day PO div bid for 5 days Prophylaxis is not recommended unless situation judged critical because of limited data on safety/efficacy in this age group.

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