Paediatric
Pneumonia, community acquired (mild to moderate)
Preferred
amoxicillin po, see dosing table below, for 3 days.
|
Age |
amoxicillin oral dose |
|
1 month to 11 months |
125mg TDS |
|
1 year to 4 years |
250mg TDS |
|
5 years and over |
500mg TDS |
If no clinical improvement after 3 day course of amoxicillin: Switch to co-amoxiclav (dose as per Pneumonia, community-acquired: severe)
If atypical pneumonia suspected, use the alternative of:
6 months and over: azithromycin 10mg/kg (max 500mg) po OD for 3 days
If under 6 months: Discuss with Paed ID
Alternative
For penicillin allergy (non-severe and severe)
Under 6 months: clarithromycin po, see dosing table below, for 3 days
| Weight | clarithromycin oral dose |
| Under 8kg | 7.5mg/kg BD |
| 8-11kg | 62.5mg BD |
| 12-19 kg | 125mg BD |
6 months and over: azithromycin 10mg/kg (max 500mg) po OD for 3 days