Paediatrics - Queensland Health - Queensland Government
Paediatrics - Queensland Health - Queensland Government
Paediatrics - Queensland Health - Queensland Government
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Immune complications<br />
578<br />
• Treatment of ARF is based on the eradication of GAS infection and management<br />
of symptoms:<br />
-- IM benzathine penicillin to eliminate streptococci (even if group A streptococci<br />
not isolated on culture)<br />
-- oral penicillin should not normally be used, as completion of 10 days of<br />
treatment cannot be guaranteed<br />
See Simple analgesia back cover<br />
Schedule 4<br />
Benzathine penicillin<br />
(Bicillin LA)<br />
Controlled copy V1.0<br />
DTP<br />
IHW / IPAP<br />
Authorised Indigenous <strong>Health</strong> Workers and Isolated Practice Area Paramedic must consult MO / NP<br />
Form Strength<br />
Disposable<br />
syringe<br />
Route of<br />
administration<br />
900 mg IM<br />
Recommended<br />
dosage<br />
Child < 20 kg<br />
450 mg<br />
Adult / child ≥ 20 kg<br />
900 mg<br />
Duration<br />
Use a concentration of 442 mg / mL when measuring part doses. Refer to product information<br />
Provide Consumer Medicine Information<br />
Management of associated emergency: as for severe allergic reactions. See Anaphylaxis<br />
Administration tips - as per patient preference:<br />
-- apply EMLA cream to the injection site 30 - 60 minutes prior to injection and allow medication to warm<br />
up to room temperature or<br />
-- allow medication to warm up to room temperature, apply pressure with thumb (to the exact injection<br />
site) 30 seconds prior to the injection, use 21 gauge needle and deliver injection very slowly (2 minutes)<br />
[1] [2]<br />
• If reliably documented allergy to penicillin treat with erythromycin [1]<br />
• If penicillin allergy not reliably documented arrange for testing in hospital<br />
Schedule 4 Erythromycin<br />
DTP<br />
IHW / IPAP<br />
Authorised Indigenous <strong>Health</strong> Workers and Isolated Practice Area Paramedic must consult MO / NP<br />
Form Strength<br />
Capsule 250 mg<br />
Suspension 200 mg / 5 mL<br />
Route of<br />
administration<br />
Oral<br />
Recommended<br />
dosage<br />
500 mg bd<br />
20 mg / kg / dose bd<br />
to a max. of 500 mg bd<br />
Provide Consumer Medicine Information: take with food<br />
Management of associated emergency: as for severe allergic reactions. See Anaphylaxis<br />
Stat<br />
Duration<br />
10 days<br />
5. Follow up<br />
Assign an individualised management plan based on ARF and absence or<br />
[1]<br />
Primary Clinical Care Manual 2011
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