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Pediatric Community-Acquired Pneumonia

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Prevention Table 4. Selection of Antimicrobial Therapy for Specific Pathogens (continued) Pathogen S. pneumoniae resistant to penicillin with MIC values ≥ 4.0 mcg/mL Parenteral Therapy Preferred: • Ceftriaxone (100 mg/kg/day div q12-24h) (Step-Down Therapy or Mild Infection) Oral Therapy Preferred: • Levofloxacin PO (16-20 mg/kg/day div bid for children 6 mo to 5 y and 8-10 mg/kg once daily for children 5 to 16 y; max daily dose, 750 mg), if susceptible or • Linezolid PO (30 mg/kg/day div tid for children < 12 y and 20 mg/kg/day div bid for children ≥ 12 y) Alternatives: • Ampicillin (300-400 mg/kg/day div q6h) • Levofloxacin (16-20 mg/kg/day div q12h for children 6 mo to 5 y and 8-10 mg/kg once daily for children 5 to 16 y; max daily dose, 750 mg) or Alternative: • Clindamycin POa (30-40 mg/kg/day div tid) May also be effective: • Clindamycina (40 mg/kg/day div q6-8h) or Group A Streptococcus • Linezolid (30 mg/kg/day div q8h for children < 12 y and 20 mg/kg/day div q12h for children ≥ 12 y) • Vancomycin (40-60 mg/kg/day div q6-8h) Preferred: • Intravenous penicillin (100,000-250,000 units/kg/day div q4-6h) or • Ampicillin (200 mg/kg/day div q6h) Alternatives: • Ceftriaxone (50-100 mg/kg/day div q12-24h) or • Cefotaxime (150 mg/kg/day div q8h) May also be effective: • Clindamycin, if susceptible (40 mg/kg/day div q6-8h) or 8 • Vancomycinb (40-60 mg/kg/day div q6-8h) Preferred: • Amoxicillin (50-75 mg/kg/day div bid) or • Penicillin V (50-75 mg/kg/day div tid or qid) Alternative: • Clindamycin POa (40 mg/kg/day div tid)

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