Spectrum: Local Antimicrobial Stewardship, for IWK Health Centre

NOT typical of Group A Strep

Most likely pathogens

Unknown, pathogens vary depending upon age of child and location

Consult

Infectious Disease

Duration of therapy

Depending upon clinical response, may continue 14 days after last positive culture (surgical debridement)

Suggested regimen

Ceftriaxone 50-75 mg/kg/dose IV q24h
Maximum: 2000 mg/dose

AND

Clindamycin 8-13 mg/kg/dose IV q8h
Maximum: 900 mg/dose

Penicillin allergy

Ceftriaxone 50-75 mg/kg/dose IV q24h
Maximum: 2000 mg/dose

AND

Clindamycin 8-13 mg/kg/dose IV q8h
Maximum: 900 mg/dose