Sandbox shengshi

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H. Influenzae
Preferred Regimen
▸ Ceftriaxone 50 mg/kg IV q12h
If Penicillin Allergic
▸ Chloramphenicol 12.5 mg/kg IV q6h (max. 4 gm/day.)
Listeria Monocytogenes
Preferred Regimen
▸ Ampicillin 50 mg/kg IV q12h 2mg iv q4h
PLUS OR NOT
▸ gentamicin 2 mg/kg loading dose then 1.7kg/mg q8h
If Penicillin Allergic
▸ TMP-SMX 20 mg/kg/day q6–12h
Alternative Regimen
▸ Meropenem 2 mg IV q8h
N. meningitidis
Preferred Regimen
▸ Ceftriaxone 2 mg IV q12hx 7 days
▸ If Ȕ-Lactam Allergic
▸ Chloro 12.5 mg/kg (up to 1 gm) IV q6h
Alternative Regimen
▸ Meropenem 2 gm IV q8h
OR
Moxifloxacin 400 mg q24h
E. coli, other coliforms, or P. aeruginosa
Preferred Regimen
▸ Ceftazidime2 gm IV q8h
OR
cefepime 2 gm IV q8h
PLUS OR NOT
▸ Gentamicin
S. pneumoniae‡
Pen G MIC <0.1 mcg/mL
▸ Penicillin G 4 million units IV q4h
OR
Ampicillin 2 gm IV

q4h

Alternative Regimen
▸ Ceftriaxone 2 gm IV q12h
OR

Chloramphenicol 1 gm IV q6h

Pen G MIC :0.1–1 mcg/mL
▸ Ceftriaxone 2 gm IV q12h
OR
Cefotaxime 2 gm IV q4–6h
Alternative Regimen
▸ Cefepime 2 gm IV q8h
OR
Meropenem 2 gm IV q8h
Pen G MIC :≥2 mcg/mL
▸ Vancomycin 500–750 mg IV q6h
PLUS
▸ Ceftriaxone 2 gm IV q12h
OR
Cefotaxime 2 gm IV q4–6h
Alternative Regimen
▸ Moxifloxacin 400 mg IV q24h
Ceftriaxone MIC ≥ 1mcg/mL
▸ Vancomycin 500–750 mg IV q6h
PLUS
▸ Ceftriaxone 2 gm IV q12h
OR
Cefotaxime 2 gm IV q4–6h
Alternative Regimen
▸ Moxifloxacin 400 mg IV q24h
If MIC to ceftriaxone >2 mcg/mL, add RIF 600 mg 1x/day