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Skin and Soft Tissue Infections

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15 Pediatric Dosage b Comment N/A N/A 25-50 mg/kg/day in 3 or 4 divided doses PO N/A 40 mg/kg/day in 3-4 divided doses PO d Some strains of S. aureus and S. pyogenes may be resistant. 20 mg/kg/day in 3 divided doses PO N/A 25 mg/kg/day of the amoxicillin component in 2 divided doses PO N/A Apply to lesions bid For patients with limited number of lesions. Apply to lesions tid For patients with limited number of lesions. 100-150 mg/kg/day in 4 divided doses Parental drug of choice. Inactive against MRSA. 50 mg/kg/day in 3 divided doses • For penicillin-allergic patients except those with immediate hypersensitivity reactions. • More convenient than nafcillin with less bone marrow suppression. 25-40 mg/kg/day in 3 divided doses IV or 25-30 mg/kg/day in 3 divided doses PO • Bacteriostatic. • Potential for cross-resistance and emergence of resistance in erythromycin-resistant strains. • Inducible resistance in MRSA. 25-50 mg/kg/day in 4 divided doses PO • Oral agent of choice for methicillin- susceptible strains in adults. • Not used much in pediatrics 25-50 mg/kg/day in 4 divided doses PO • For penicillin-allergic patients except those with immediate hypersensitivity reactions. • A primary option in pediatrics because of its availability as a suspension. NOT recommended for age <8 years e • Bacteriostatic. • Limited recent clinical experience. 8-12 mg/kg (based on trimethoprim component) in either 4 divided doses IV or 2 divided doses PO • Bactericidal. • Efficacy poorly documented.

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