Diferencia entre revisiones de «Template:Pertussis Antibiotics»
(Created page with "*Antibiotics do not help with severity or duration but may decrease infectivity. *A reasonable guideline is to treat persons aged >1 year within 3 weeks of cough onset and inf...") |
Sin resumen de edición |
||
| Línea 2: | Línea 2: | ||
*A reasonable guideline is to treat persons aged >1 year within 3 weeks of cough onset and infants aged <1 year and pregnant women (especially near term) within 6 weeks of cough onset. <ref>CDC - Pertussis http://www.cdc.gov/pertussis/clinical/treatment.html</ref> | *A reasonable guideline is to treat persons aged >1 year within 3 weeks of cough onset and infants aged <1 year and pregnant women (especially near term) within 6 weeks of cough onset. <ref>CDC - Pertussis http://www.cdc.gov/pertussis/clinical/treatment.html</ref> | ||
*TMP--SMZ should not be administered to pregnant women, nursing mothers, or infants aged <2 months.<ref> CDC MMWR Pertusis http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5414a1.htm</ref> | *TMP--SMZ should not be administered to pregnant women, nursing mothers, or infants aged <2 months.<ref> CDC MMWR Pertusis http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5414a1.htm</ref> | ||
*The following regemins are for active disease or | *The following regemins are for active disease or postexposure prophylaxis. If a patient is has confirmed disease and is likely to be in contact with infants or pregnant women then the patient should be treated as up to 6-8 weeks after the onset of their illness. | ||
====< 1 month old==== | ====< 1 month old==== | ||
''Same antibiotics for active disease and postexposure prophylaxis'' | ''Same antibiotics for active disease and postexposure prophylaxis'' | ||
Revisión del 15:56 13 abr 2015
- Antibiotics do not help with severity or duration but may decrease infectivity.
- A reasonable guideline is to treat persons aged >1 year within 3 weeks of cough onset and infants aged <1 year and pregnant women (especially near term) within 6 weeks of cough onset. [1]
- TMP--SMZ should not be administered to pregnant women, nursing mothers, or infants aged <2 months.[2]
- The following regemins are for active disease or postexposure prophylaxis. If a patient is has confirmed disease and is likely to be in contact with infants or pregnant women then the patient should be treated as up to 6-8 weeks after the onset of their illness.
< 1 month old
Same antibiotics for active disease and postexposure prophylaxis
- Azithromycin 10mg/kg (max 500mg/day) daily x 5 days
>1 month old
- Azithromycin 10mg/kg (max 500mg/day) daily x 5 days
- if > 6 months old then day 2-5 of treatment should be reduced to 5mg/kg (250mg/day max)
- TMP/SMX 4mg/kg PO BID daily for 14 days (if > 2 months old)
Adults
Options:
- Azithromycin 500mg PO once daily for day #1 then 250mg PO once daily for days #2-5
- Clarithromycin 500mg BID x7 days
- Erythromycin 500mg QID x7 days
- ↑ CDC - Pertussis http://www.cdc.gov/pertussis/clinical/treatment.html
- ↑ CDC MMWR Pertusis http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5414a1.htm