Spectrum: Local Antimicrobial Stewardship, for Markham Stouffville Hospital

Basilar Skull Fracture

Common Bacterial Pathogens

S. pneumoniae

H. influenza

Group A Beta-hemolytic Strep.

Empiric Antimicrobial Therapy

Vancomycin (Meningitis-Specific Dosing)

PLUS EITHER

Ceftriaxone (Meningitis-Specific Dosing)

OR

Cefotaxime* (Meningitis-Specific Dosing)

*If neonate.