Douglas J. Rhee, MD

(8) Dacryoadenitis, BacterialNotes: 1. Other causes of lacrimal gland masses include inflammatory, neoplastic, and viral causes. Please refer to Rhee DJ, Pyfer, MF,eds. The Wills Eye Manual: Offi ce and Emergency Room Diagnosis and Treatment of Eye Disease, 3rd ed. (Philadelphia:Lippincott Williams & Wilkins, 1999) for a complete discussion on the evaluation of nonbacterial treatment.2. CT scan of orbit and brain to rule out abscess formation which may require surgical incision and drainage.3. Pediatric consultation is recommended in children.(a) MildSelect one agent with daily follow-up.20Drug Trade Dose Notesamoxicillin /clavulanate Augmentin 250–500 mg PO TID or 875 mg PO BID Adult dose20–40 mg/kg/day in 3 divided doses Pediatric dosecephalexin Keflex 250–500 mg PO QID Adult dose25–50 mg/kg/day in 4 divided doses Pediatric dose(b) Moderate to SevereHospitalize and select one agent.Drug Trade Dose Notesticarcillin /clavulanate Timentin 3.1 gm IV Q4–6 hr Adult dose200 mg/kg/day in 4 divided doses Pediatric dose above age 12cefazolin Ancef 1 gm IV Q8 hr Adult dose50–100 mg/kg/day IV in 3 divided doses Pediatric dose over one month of age (maxadult dose 4–6 g/day)