11.07.2015 Views

Douglas J. Rhee, MD

Douglas J. Rhee, MD

Douglas J. Rhee, MD

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(9) Preseptal Cellulitis(a) Mild Case, Patient >5 Years of Age, Afebrile, Systemically Well, Reliable Patient/ParentSelect one agent with daily follow-up and treat for 10 days.Drug Trade Dose Notesamoxicillin /clavulanate Augmentin250–500 mg PO TID or 875 PO BID Adult dose20–40 mg/kg/day PO in 3 divided doses Pediatric dosecefaclor Ceclor 250–500 mg PO TID Adult dose20–40 mg/kg/day PO in 3 divided doses Pediatric dosecephalexin Keflex 250–500 mg PO QID Adult dose25–50 mg/kg/day in 4 divided doses Pediatric doseclarithromycin Biaxin 250–500 mg PO BID Adult dose15 mg/kg/day PO divided BID Pediatric doseerythromycin E-mycin 250–500 mg PO QID Adult dose30–50 mg/kg/day PO in 3–4 divided doses Pediatric doseNot very good againstStaphylcoccus or Streptococcustrimethoprim / Bactrim 1 double strength tablet PO BID Adult dosesulfamethoxazole 8–12 mg/kg/day TMX & 40–60 mg/kg/day SMX Pediatric dosePO in 2 divided dosesAntibacterial Agents 21

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