Micro Organisms

Staph.aureus, Strep.pyogenes, Strep.pneumonia, Haemophilus spp.

Duration

5 - 7 days

Treatment - (First line)

Important: Therapy

Co-amoxiclav PO 

If otherwise well - oral route is appropriate. If unwell, then IV may be used 

If MRSA positive add Vancomycin IV

Notes:

Anaphylaxis - (Penicillin allergy)

Important: Therapy

Clindamycin PO + Ciprofloxacin PO

Notes:

Important: Notes

Contact ENT + Ophthalmology team as soon as child is admitted

Consider adding Metronidazole if no improvement within 24-48 hours

 

 

ref: MSD Manual