Children - facial

Usual Pathogens

Group A Streptococci
S. aureus
H. influenzae (if < 5 years old)

Mild/Afebrile

Empiric Therapy Dose Duration
Cephalexin 40mg/kg/d PO div qid 5 days

ß-lactam allergy

Empiric Therapy Dose Duration
Clindamycin 20-40mg/kg/d PO div qid 5 days

Moderate-severe < 5 years old

Empiric Therapy Dose Duration
Cefuroxime 100-150mg/kg/d IV div q8h 5-10 days

Moderate-severe > 5 years old

Empiric Therapy Dose Duration
Cefazolin 75mg/kg/d IV div q8h 5-10 days

ß-lactam allergy

Empiric Therapy Dose Duration
Clindamycin IV/PO 20-40mg/kg/d IV div q8h or 5-10 days
  20-40mg/kg/d PO div qid