Approach to suspected bacterial infections in children
#peds
Impetigo
>>s aureus, GAS (s pyogenes) most common
>>topical therapy (mupirocin, fucidin)
>>systemic therapy (cloxacillin, cephalexin - 1st gen ceph) - cloxacillin doesn't taste good so cephalexin does better with kids
Antibiotics for resistant gram positive infections
>>Organisms
▫Methicillin resistant S. aureus
▫Penicillin resistant S. pneumoniae & viridans streptococci
▫Ampicillin resistant enterococci
>>Potential antibiotics
▫Vancomycin (for kids being admitted)
▫Linezolid
▫Daptomycin, Clindamycin (used more often), TMP SMX
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