High risk

- Recommend:

  • CBC

  • CRP

  • blood cultures

  • catheter/suprapubic urine

  • lumbar puncture

  • admission for IV antibiotics

Usual Pathogens

Group B Streptococci
E. coli
S. pneumoniae
N. meningitidis

 
Occasionally:

H. influenzae

 

Empiric Therapy Dose Duration
Cefotaxime 200mg/kg/d IV div q6h Reassess at 48h with culture results.