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Therapeutics- Exam 3 Drug Treatment Options

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AOM with no qualifying factors
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Terms in this set (72)
AOM with no qualifying factors
High dose amoxicillin PO divided BID
AOM with conjunctivitis or abx in last 30 days
high dose Amoxicillin/clavulanate PO divided BID
AOM (not tolerating oral intake)
Ceftriaxone 50mg/kg IV or IM x 1 dose
AOM with not life threatening PCN allergy
Oral cephalosporins:
Cefpodoxime, Cefuroxime, Cefdinir
AOM with life threatening PCN allergy
-Clindamycin (only covers Strep. pneumo)
-Levofloxacin (q12h if less than 5yrs old, q24h if 5yrs or older)
-SMX/TMP
-Azithromycin
Why do we use high dose amoxicillin?
Help overcome resistance
AOM: no improvement in last 48-72 hours

Failed therapy with Amoxicillin
High dose amoxicillin/clavulanate
AOM: no improvement in last 48-72 hours

Failed therapy with Amoxicillin-clavulanate
-Ceftriaxone IV or IM x 3 days
-Oral clindamycin +/- oral 3rd generation cephalosporins
AOM: no improvement in last 48-72 hours

Failed therapy with multiple abx
refer to specialist
Treatment duration:
Severe AOM (any age)
10 days
Treatment duration:
Age < 2, any severity
10 days
Treatment duration:
Age 2-5, mild-moderate
7 days
Treatment duration:
Age 6+, mild-moderate
5-7 days
Pharyngitis:
first line treatment
PCN and amoxicillin
Pharyngitis treatment duration
10 days