Paediatric
Bacterial tracheitis and epiglottitis
Consider discussion with PICU and Paediatric ID.
Treat for 5 days
Switch to oral antibiotics based on isolated pathogen and susceptibility.
Preferred
co-amoxiclav 30mg/kg (Max 1.2g) iv TDS (BD if 1-2 months old)
For MRSA positive patients:
Add vancomycin iv. Review once microbiology results available.
Alternative
For penicillin allergy (non-severe):
ceftriaxone 80mg/kg (Max 4g) iv OD
For penicillin allergy (severe):
ciprofloxacin* 10mg/kg (Max 400mg) iv TDS AND clindamycin 10mg/kg (Max 600mg) iv QDS
*ciprofloxacin may induce convulsions in patients with or without a history of convulsions – use with caution
For MRSA positive patients:
Add vancomycin iv. Review once microbiology results available.