Neonates

- Recommend blood culture.

- If meningitis is possible (e.g. fever, lethargy, or poor feeding), do a lumbar puncture and use meningitic doses of cloxacillin + [gentamicin or cefotaxime].

 
Usual Pathogens

S. aureus
Group B Streptococci
Enterobacterales
Group A Streptococci

 

Empiric Therapy Dose Duration
Cefazolin 75mg/kg/d IV div q8h 10-14 days
+    
Gentamicin 4-5mg/kg IV q24h