Pediatric emergency medicine trisk 2337 2337
Bạn đang xem bản rút gọn của tài liệu. Xem và tải ngay bản đầy đủ của tài liệu tại đây (72.08 KB, 1 trang )
abscesses, or
ecthyma
Genitourinary:
purulent
urethritis (with
dysuria and
apparently
sterile pyuria),
proctitis, or
epididymitis
PCR-based tests
not approved
for pharyngeal
or rectal swabs
due to crossreaction with
nongonococcal
neisserial
species and
should not be
used for
children in
whom sexual
assault/abuse
is suspected or
for the
diagnosis of
gonococcal
conjunctivitis
(in these cases,
cultures should
be obtained)
HSV, acquired Orolabial: multiple Culture, PCR
c
vesicles that
appear
indistinguishable
from
herpangina, but
are not limited
• ≥45 kg: ceftriaxone
1 g IV daily for 7
days
Conjunctivitis:
ceftriaxone 1 g IM
once
Epididymitis,
urethritis:
ceftriaxone 250 mg
IM once
Meningitis or
endocarditis:
• 45 kg: ceftriaxone
50 mg/kg/day
(maximum dose: 2
g/day) IV or IM
q12h for 10–14
days for
meningitis, 28 days
for endocarditis
• ≥45 kg: ceftriaxone
1–2 g IV q12h for
10–14 days for
meningitis, 28 days
for endocarditis
Should also be treated
empirically for
Chlamydia with
azithromycin 1 g
PO once
Acyclovir;
alternatives include
valacyclovir and
famciclovir
Topical antiviral
therapy is not
recommended for
