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21 Cards in this Set
- Front
- Back
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bacterial om usu due to
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day care attendance
recent abx exposure age < 2 yrs frequent bouts of otitis media |
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bacteria om usu due to which pathogen
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strep pneumoniae
h influenzae m catarrhalis Other: group A strep s aureus gnrs p aeruginosa |
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symptomatic tx of om include
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apap
ibuprofen |
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abx will reduce s/s of om by -- days
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1
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who should received abx tx regardless of certain or uncertain dx
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less than 6 months
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who should received abx tx for severe illeness
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6 mo to 2 yrs w/ uncertain diagnosis
> 2 yrs w/ certain dx |
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which should abx tx not be delayed for ao
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severe symptoms
recent hx of antimicrobial exposure undelrying conditions exist f/u is not easily accessible |
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if the pt has a fever and ao what should be given immediately
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amoxicillin- clavulanante 90 mg/kg per day of amoxicillin, w/ 6.4 mg/kg per day of clavulanate
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ao w/o fever. . . what do you give immediately
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amoxicillin, 80-90 mg/kg per day
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alternative to amoxicillin for ao w/ immediate tx
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nontype 1: cefdinir, cefuroxime
type 1: azithromycin, clarithromycin |
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alternate for amox-clav for immediated release
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ceftriaxone 1 or 3 days
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wh use amoxicillin for ao
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concentrates well in mid ear
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s pneumo or h influ/m cararrhalis
spontaneous resolution |
h influ/m catarrhalis
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s pneumo or h influ/m cararrhalis
mod potential for invasive disease |
s pneumo
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s pneumo or h influ/m cararrhalis
potential for resistance |
s pneumo
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s pneumo or h influ/m cararrhalis
covered by amox |
s pneumo
(no for h influ/ m catarrhalis if b lactamase producer) |
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if immediate abx fails what do you give for a fever w/ ao
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amox-clav
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if abx failure and pt has a fever w/ ao waht do you give
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ceftriaxone IM
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if tx failure w/ abx and pt has a fever and a pcn allergy what do you give
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tympanocentesis
clindamycin |
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if tx failure w/ abx and pt has no fever and a pcn allergy what do you give
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nontype 1: ceftriaxone for 3 days
type 1: clindamycin |
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which gen of cephalo don't give for tx failure
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1st and 2nd gen due to inadequate mid ear concentration
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