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
*ciprofloxacin may induce convulsions in patients with or without a history of convulsions – use with caution.