Pediatric Treatments

Question 1

Salmonella treatment kids

Answer 1

Usually NOTHING.

Severe: azithromycin, ciprofloxin, Bactrim—SMZ-TMP

Question 2

2 antibiotics contradicted in kids

Answer 2

Fluoroquinolones (only CF) and tetracyclines

Question 3

What antibiotic gives you c diff

Answer 3

Clindamycin

Question 4

Treatment for E Coli 015

Answer 4

Do not treat! Antibiotics make it worse, inc toxin

Question 5

Campylobactor

Answer 5

Most recover without treatment; macrolide can speed recovery and decrease carrier state

Question 6

C diff treatment

Answer 6

Metronidazole or Vancomycin ONLY if diarrhea severe otherwise let it run its course

Question 7

Treatment of choice for giardhea lamblia, entamoeba histolytica for peds

Answer 7

Furazolidone (metronidazole in adults)

Question 8

treating infant GERD

Answer 8

o TREAT: avoid overfeeding, no smoking around baby, thicken feedings, keep baby upright for 20 min after feedings.

• Lay supine to sleep. Propping baby up makes it worse bc they cant even support themselves anyway, hurting GERD all slumped over.
• OR PPI

Question 9

PPIs have risk for ________ and ___________ with overuse in infant GERD

Answer 9

Gastric cancer and osteoporosis

Question 10

treat intussusception

Answer 10

barium enema—shows and treats! or surgery if that does work

Question 11

milk soy intolerance

Answer 11

• hydrolyzed protein formula—nutramigen, but its expensive.
o Milk/soy free diet of mom for 2 weeks before resuming breastfeeding