URTI Flashcards
AOM Bugs
S. pneumoniae, H flu, moraxella catarrhalis
AOM 1st line therapy
High dose amoxicillin (90mg/kg/day) or amoxicillin-clavulanate (if recieved amoxicillin in last 30 days, concurrent conjuntivitis, or H flu or M catarrhalis)
AOM 1st line with penicillin allergy
cefdinir, cefuroxime, cefpodoxime, ceftriaxone (1 or 3 days)
AOM if 1st line fails after 48-72 hours
High dose amox-clav OR ceftriaxone (3 days only)
AOM if 1st line fails after 48 - 72 hours 2nd line
clindamycin +/- 3rd gen cephalosporin
if that fails:
clindamycin + 3rd gen cephalosporin, tympanocentesis, consult specialist
3rd generation oral cephalosporins
Cefdinir, cefixime, ceftibuten
Acute rhinosinusitis 1st line therapy
std dose amox-clav OR amoxicillin depending on antibiogram
Acute rhinosinusitis 2nd line (resistant or failed 1st line)
high dose amox-clav, levofloxacin, moxi(adults), clinda + 3rd generation cephalosporin
Acute rhinosinusitis PCN allergy
levofloxacin, doxycycline (adults), moxi (adults) clinda + 3rd gen ceph (peds only)
Acute rhinosinusitis treatment duration
5-14 days
Acute Pharyngitis treatment
if group a strep: PCN or amox x 10 days.
Acute Pharyngitis treatment (PCN allergy)
1st generation ceph (not type 1 reaction), clinda or clarithro x 10 days, or azithromycin x 5 days
Acute bronchitis treatment
typically viral. if ABX needed: azithromycin/clarithromicin, doxy, or respiratory flouroguinolone
respiratory flouroquinolone
levo, moxi, gemi
