Paediatric
Enteric fever / Typhoid
Consult Paediatric Infectious Diseases
Preferred (including non-severe penicillin allergy)
ceftriaxone 80mg/kg (Max 4g) iv OD (if 1 month old or older)
Switch to oral antibiotics once sensitivities known:
6 months and over: azithromycin 10mg/kg (max 500mg) po OD for total 7 days
Under 6 months: Consult Paediatric Infectious Diseases
Alternative (severe penicillin allergy)
6 months and over: azithromycin 10mg/kg (Max 500mg) po OD for total 7 days
Under 6 months: Consult Paediatric Infectious Diseases
If IV treatment is needed consider: ciprofloxacin* 10mg/kg (Max 400 mg) iv TDS for total 10 days. If patient returning from area where high resistance to ciprofloxacin reported - consult Paediatric infectious diseases
*Ciprofloxacin may induce convulsions in patients with or without a history of convulsions – use with caution