Paediatric
Necrotising Fasciitis updated July 2024
Necrotising fasciitis is an emergency and requires prompt treatment with effective antimicrobials and urgent referral to the plastic surgery team.
Consult Paediatric Infectious Diseases urgently.
All cases should be discussed with paediatric intensive care.
IVIg may be indicated. This requires approval from Paeds ID.
Preferred (including penicillin allergy (non-severe)
ceftriaxone 80mg/kg (Max 4g) iv OD AND clindamycin 10mg/kg (Max 1.2g) iv QDS
Alternative
For pencillin allergy (severe) or MRSA positive patients
vancomycin iv AND clindamycin 10mg/kg (Max 1.2g) iv QDS AND gentamicin 7mg/kg (Max 560mg) iv OD