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

ISBN-10: 1581104294

ISBN-13: 9781581104295

This best-selling and common source on pediatric antimicrobial remedy offers fast entry to trustworthy, up to the moment innovations for therapy of all infectious ailments in young ones. for every illness, the authors supply a observation to assist healthiness care companies choose the simplest of all antimicrobial offerings. Drug descriptions disguise all antimicrobial brokers to be had this day and contain whole information regarding dosing regimens. in line with turning out to be matters approximately overuse of antibiotics, this system contains guidance on whilst to not prescribe antimicrobials. Key positive factors: designed in case you look after little ones and are confronted with judgements on a daily basis; comprises remedy of parasitic infections and tropical drugs; up to date anti-infective drug directory, entire with formulations and dosages; and balanced details on safeguard, efficacy, and tolerability with facts on bills and availability of drugs.

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

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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).

38,39 Osteomyelitis33,34,37,43-45 Comments Therapy (evidence grade) Clinical Diagnosis 36 — Skeletal Infections 1/28/10 3:08 PM C. indd 37 Conjunctivitis, acute Polymyxin/trimethoprim ophth soln OR polymyxin/ Other topical antibiotics (gentamicin, erythromycin, (Haemophilus and bacitracin ophth ointment OR tobramycin ophth moxifloxacin, norfloxacin, ofloxacin, levofloxacin) may pneumococcus soln OR ciprofloxacin ophth soln (CII), x 7–10 days offer advantages for particular pathogens (CII) For neonatal infection, see Chapter 5.

Cystic fibrosis, acute Ceftazidime 150–200 mg/kg/day div q6–8h or Larger than normal dosages of antibiotics required in exacerbation piperacillin 300–400 mg/kg/day IV div q4h, AND most patients with cystic fibrosis; monitor peak serum (P aeruginosa primarily; also tobramycin 6–10 mg/kg/day IM, IV div q6–8h (BII). 100,111–114 40–60 mg/kg/day div q8h for S aureus (AIII) Consider H influenzae type b For suspect Mycoplasma/atypical pneumonia agents, pneumococcus: no need to add empiric vancomycin in the unimmunized child.

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


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