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Antimicrobials
For severe pneumonia with suspected type I penicillin allergy, options should be discussed with a paediatric infectious diseases physician
Infectious Diseases
Uncomplicated: 7 days (unless otherwise indicated)
Complicated pneumonia (with effusion, abscess, immunocompromised host, etc) may warrant a longer course of therapy
YES
NO
Ceftriaxone IV 75-100 mg/kg/day divided q12h or q24h Duration: 7 days
AND
Ensure adequate coverage for Staphylococcus aureus (MSSA and/or MRSA)
Risk factors for Methicillin Resistant Staphylococcus aureus
∙Previous isolation of MRSA from patient ∙Close household contact of those know to be colonized with MRSA ∙First Nations and/or lives on reserve
MSSA Coverage
MRSA Coverage
ALSO CONSIDER
Oseltamivir in any child with proven or suspected influenza