Early-Onset Pneumonia

Duration of Therapy

10 days

Transition from empiric to definitive therapy should occur once GBS is identified by culture and clinical improvement is evident.

Empiric Therapy

0-7 Days of Age
2 kg or less
25 mg/kg IV q12h

Over 2 kg
25 mg/kg IV q8h

PLUS

0-7 Days of Age
PMA Less Than 34 Weeks
3 mg/kg IV q24h

PMA 34 Weeks or More
3 mg/kg IV q18h

Definitive Therapy

0-7 Days of Age
2 kg or less
25,000 units/kg IV/IM q12h

Over 2 kg
25,000 units/kg IV/IM q8h