Diferencia entre revisiones de «Template:Epidural Abscess Treatment»

Revisión actual - 13:21 20 mar 2026

Target Staph, Strep, and Gram-negative bacilli^[1]
Vancomycin 15-20mg/kg BID + 500mg (7.5mg/kg) q6 hrs + (Cefotaxime or standard dosing or Ceftazidime)
- Ceftazidime is preferred if pseudomonas is considered likely
- Can substitute Nafcillin or Oxacillin for Vancomycin if not MRSA

Treat for 6-8 weeks

Pediatric

Vancomycin 15mg/kg IV q6hrs + Ceftriaxone 50-75mg/kg IV daily (max 2g) + Metronidazole 7.5mg/kg IV q6hrs (max 500mg)
Treat for 6-8 weeks

↑ Rigamonti D. et al. Spinal epidural abscess: contemporary trends in etiology, evaluation, and management. Surg Neurol 1999; 52:189-96

[1] Rigamonti D. et al. Spinal epidural abscess: contemporary trends in etiology, evaluation, and management. Surg Neurol 1999; 52:189-96

[1]

@@ Línea 1: / Línea 1: @@
+*Target [[Staphylococcus_Species|Staph]], [[Strep_Species|Strep]], and [[Gram_Negatives|Gram-negative bacilli]]<ref>Rigamonti D. et al. Spinal epidural abscess: contemporary trends in etiology, evaluation, and management. Surg Neurol 1999; 52:189-96</ref>
+*{{AntibioticDose|disease=Epidural abscess (spinal)|drug=Vancomycin|dose=15-20mg/kg BID|context=Empiric}} + {{AntibioticDose|disease=Epidural abscess (spinal)|drug=Metronidazole|dose=500mg (7.5mg/kg) q6 hrs|context=Empiric|link=no}} + ([[Cefotaxime]] or {{AntibioticDose|disease=Epidural abscess (spinal)|drug=Ceftriaxone|dose=standard dosing|context=Empiric|link=no}} or [[Ceftazidime]])
+**[[Ceftazidime]] is preferred if [[pseudomonas]] is considered likely
+**Can substitute [[Nafcillin]] or [[Oxacillin]] for [[Vancomycin]] if not [[MRSA]]
+''Treat for 6-8 weeks''
-*Target [[Staphylococcus_Species|Stap]], [[Strep_Species|Strep]], and [[Gram_Negatives|Gram-negative bacilli]]<ref>Rigamonti D. et al. Spinal epidural abscess: contemporary trends in etiology, evaluation, and management. Surg Neurol 1999; 52:189-96</ref>
+====Pediatric====
-*[[Vancomycin]] 15-20mg/kg BID + [[metronidazole]] 500g (7.5mg/kg) q6 hrs + ([[Cefotaxime]] or [[Ceftriaxone]] or [[Ceftazidime]])
+*{{AntibioticDose|disease=Epidural abscess (spinal)|drug=Vancomycin|dose=15mg/kg IV q6hrs|context=Pediatric Empiric|population=Pediatric}} + {{AntibioticDose|disease=Epidural abscess (spinal)|drug=Ceftriaxone|dose=50-75mg/kg IV daily (max 2g)|context=Pediatric Empiric|population=Pediatric}} + {{AntibioticDose|disease=Epidural abscess (spinal)|drug=Metronidazole|dose=7.5mg/kg IV q6hrs (max 500mg)|context=Pediatric Empiric|population=Pediatric}}
-**[[Ceftazidime]] is preferred if [[pseudomonas]] is considered likely
+*Treat for 6-8 weeks
-***Can substitute [[Nafcillin]] or [[Oxacillin]] for [[Vancomycin]] if not [[MRSA]]
-**Treat for 6-8 weeks