Paediatrics - Queensland Health - Queensland Government

Ear problems
584
• Talk to the family about the need to complete the full course of antibiotics and to
return at 4 - 7 days for the ear to be checked
• Give or help to give the first dose in the clinic and ensure the family know the right
dose to give. If family do not have a fridge at home they may have to return to the
health service for medicine each day
Schedule 4 Amoxycillin
DTP
IHW / SM R&IP / IPAP
Authorised Indigenous Health Workers and Isolated Practice Area Paramedic must consult MO / NP
Scheduled Medicines Rural & Isolated Practice Registered Nurses may proceed
Form Strength
Route of
administration
Recommended
dosage
250 mg
Capsule
Adult and child
500 mg
Oral 25 mg / kg / dose bd
125 mg / 5 mL
Suspension to a max. of 1 g bd
250 mg / 5 mL
Provide Consumer Medicine Information
Management of associated emergency: as for severe allergic reactions. See Anaphylaxis
Controlled copy V1.0
Duration
7 days
[4] [6]
• If parent or Health Care Worker think it will be difficult to comply with oral antibiotics
or if the child has significant diarrhoea or vomiting, treat with IM procaine penicillin
with the option to return to oral antibiotic once vomiting settles
Schedule 4 Procaine penicillin
DTP
IHW / SM R&IP / IPAP
Authorised Indigenous Health Workers and Isolated Practice Area Paramedic must consult MO / NP
Scheduled Medicines Rural & Isolated Practice Registered Nurses may proceed
Form Strength
Route of
administration
Recommended
dosage
Adult
Duration
Disposable
syringe
1.5 g IM
1.5 g daily
Child
50 mg / kg / dose daily
to a max. of 1.5 g daily
5 days
Provide Consumer Medicine Information
Management of associated emergency: as for severe allergic reactions. See Anaphylaxis
Administration tips - as per patient preference:
-- apply EMLA cream to the injection site 30 - 60 minutes prior to injection and allow medication to warm
up to room temperature or
-- allow medication to warm up to room temperature, apply pressure with thumb (to the exact injection
site) 30 seconds prior to the injection, use 21 gauge needle and deliver injection very slowly (2 minutes)
[3] [4]
• If allergic to penicillin, treat with roxithromycin
Primary Clinical Care Manual 2011