Basilar skull fracture
- Antibiotic prophylaxis in basilar skull fracture is not warranted. However antibiotics should be started if meningitis suspected or the child develops a fever.
Usual Pathogens
S. pneumoniae
H. influenzae
Group A Strep
If prolonged hospitalization:
S. aureus/MRSA
Enterobacterales
| Empiric Therapy | Dose | Duration |
|---|---|---|
| Ceftriaxone | 100mg/kg/d IV div q12h | ≥ 10 days |
| + | ||
| Vancomycin (pending cultures) | 60mg/kg/d IV div q6h |