Infants 1 - 3 months
- Hospitalization is recommended if:
- < 6 months old with suspected bacterial pneumonia
- respiratory distress and hypoxemia
- complicated pneumonia (parapneumonic effusions, multilobar disease, abscesses/cavities, necrosis, empyema, pneumothorax or bronchopleural fistula, or hematogenously acquired pneumonia)
- suspected CA-MRSA
- careful observation/follow-up at home cannot be ensured.
Bacterial:
Group A, B Streptococci
Enterobacterales
S. pneumoniae
H. influenzae
S. aureus
Listeria monocytogenes
Chlamydia trachomatis
| Empiric Therapy | Duration | |
|---|---|---|
| Cefotaxime | 200mg/kg/d IV div q6h | 10-14 days |
| +/- | ||
| Azithromycin | 10mg/kg IV/PO first day then 5mg/kg IV/PO daily x 4 days | 5 days |
Severely ill and meningitis possible
| Empiric Therapy | Dose | Duration |
|---|---|---|
| Cloxacillin | 200mg/kg/d IV div q4h | 10-14 days |
| + | ||
| Cefotaxime | 300mg/kg/d IV div q6h |