Paediatric
Spinal implant infection
Urgent biopsy and/or debridement recommended with collection of specimens for culture.
Modify treatment according to susceptibility test results at 48 hours.
Consult Paediatric ID.
Preferred
ceftriaxone 80mg/kg (Max 4g) iv OD
AND vancomycin iv
Alternative for penicillin allergy (non-severe and severe)
ciprofloxacin* 10mg/kg (Max 400mg) iv TDS
AND vancomycin iv
* Note: Ciprofloxacin may induce convulsions in patients with or without a history of convulsions – use with caution.
Also Note: If patient is prescribed ciprofloxacin ensure that the patient is given the Fluoroquinolone MHRA patient information leaflet.
For more information about MHRA safety alerts and patient or carer counselling See Fluoroquinolone antibiotics - paediatric position statement