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 regularly occurring source on pediatric antimicrobial remedy offers immediate entry to trustworthy, up to the moment innovations for therapy of all infectious illnesses in childrens. for every sickness, the authors supply a remark to aid wellbeing and fitness care services pick out the simplest of all antimicrobial offerings. Drug descriptions conceal all antimicrobial brokers on hand this present day and comprise whole information regarding dosing regimens. in keeping with growing to be issues approximately overuse of antibiotics, this system contains guidance on whilst to not prescribe antimicrobials. Key positive aspects: designed if you happen to look after childrens and are confronted with judgements on a daily basis; comprises therapy of parasitic infections and tropical drugs; up to date anti-infective drug directory, entire with formulations and dosages; and balanced info on security, efficacy, and tolerability with info on expenditures and availability of drugs.

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

Sample text

Renal, bladder ultrasound for fungus ball. Other triazoles are alternatives; insufficient data on echinocandins for neonatal urinary tract infection. – Coliform bacteria Cefotaxime IV, IM OR, in the absence of renal or perinephric (eg, E coli, Klebsiella, abscess, gentamicin IV, IM x 7–10 d (AII) Enterobacter, Serratia) Ampicillin IV, IM X 7–10 days, add gentamicin until cultures are sterile (AIII); for ampicillin resistance, use vancomycin, add gentamicin until cultures are sterile Ceftazidime IV, IM OR, in the absence of renal or perinephric abscess, tobramycin IV, IM x 10 d (AIII) Amphotericin IV OR fluconazole (if susceptible) (AII) – Enterococcus – P aeruginosa – Candida spp33–36 Investigate for kidney disease and for abnormalities of urinary tract Oral therapy for E coli acceptable once infant asymptomatic and culture sterile.

Other triazoles are alternatives; insufficient data on echinocandins for neonatal urinary tract infection. – Coliform bacteria Cefotaxime IV, IM OR, in the absence of renal or perinephric (eg, E coli, Klebsiella, abscess, gentamicin IV, IM x 7–10 d (AII) Enterobacter, Serratia) Ampicillin IV, IM X 7–10 days, add gentamicin until cultures are sterile (AIII); for ampicillin resistance, use vancomycin, add gentamicin until cultures are sterile Ceftazidime IV, IM OR, in the absence of renal or perinephric abscess, tobramycin IV, IM x 10 d (AIII) Amphotericin IV OR fluconazole (if susceptible) (AII) – Enterococcus – P aeruginosa – Candida spp33–36 Investigate for kidney disease and for abnormalities of urinary tract Oral therapy for E coli acceptable once infant asymptomatic and culture sterile.

No evaluation required. Some experts would treat with benzathine penicillin G 50,000 units/kg as a single IM injection, particularly if follow-up is uncertain. Risk factors: a serum quantitative nontreponemal serologic titer ≤maternal titer and the mother’s treatment was adequate before pregnancy, and mother’s nontreponemal serologic titer remained low and stable before and during pregnancy and at delivery (VDRL <1:2; RPR <1:4). indd 25 Wound cleaning and debridement vital IVIG (200–400 mg/kg) is an alternative if TIG not available; equine tetanus antitoxin not available in US but is alternative to TIG Corticosteroids (1 mg/kg/day div q12h) if active chorioretinitis or CSF protein >1 g/dL (AIII) Start sulfa after neonatal jaundice has resolved.

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