Paediatric
Soft Tissue Injury, contaminated
For skin and soft tissue wounds that are contaminated but not actively infected.
- Thorough cleaning and/or surgical debridement is indicated.
- Tetanus risk assessment should be performed. See also Tetanus prone wounds.
Suggested duration of antibiotic therapy:
- Consider antibiotics for 3 days where heavy contamination has occurred, especially with soil, mud, faeces, and dirty water.
- Consider antibiotics for 5 days where a foreign body has been removed from a contaminated wound.
- When a foreign body cannot be removed, consult Micro/ID
Preferred
co-amoxiclav po (see dosing table)
| Age |
co-amoxiclav oral dose |
|
1 month to 11 months |
0.5mL/kg of 125mg/31mg/5mL suspension TDS |
|
1 year to 5 years |
10mLs of 125mg/31mg/5mL suspension TDS |
|
6 years to 11 years |
10mLs of 250mg/62mg/5mL suspension TDS |
|
12 years to 17 years |
One 625mg tablet TDS OR 10mLs of 250mg/62mg/5mL suspension TDS if patient cannot take tablets |
Alternative
For penicillin allergy (non-severe and severe)
clarithromycin po (see dosing table below)
If IV required: clarithromycin 7.5mg/kg (max 500mg) iv BD
clarithromycin oral dosing table:
| Weight | clarithromycin oral dosing |
|
under 8 kg |
7.5 mg/kg po BD |
|
8–11 kg |
62.5 mg po BD |
|
12–19 kg |
125 mg po BD |
| 20–29 kg | 187.5 mg po BD |
| 30–40 kg | 250 mg po BD |
| 12–17 years | 500mg po BD |