Spectrum: Local Antimicrobial Stewardship, for Billings Clinic

Immunizations NOT Up To Date

Preferred Regimen

Ceftriaxone 50 mg/kg daily IV/IM (max 2000 mg)

OR

Cefotaxime 150 mg/kg/day IV in 3 divided doses (max 2000 mg/dose)

Severe Cephalosporin Allergy

Levofloxacin

  • 6 months-4 years old: 16-20 mg/kg/day PO/IV in 2 divided doses

  • 5 years and older: 8-10 mg/kg daily PO/IV up to 750 mg daily

For Suspected CA-MRSA

ADD

Vancomycin 60 mg/kg/day IV in 4 divided doses

OR

Trimethoprim-sulfamethoxazole 8-10 mg/kg/day TMP component in 2 divided doses (max 320 mg TMP/dose)