Infants 1 - 3 months

- Consider need for acyclovir if HSV encephalitis possible.

- Tailor antibiotics to C&S results.

 
Usual Pathogens

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

 

Empiric Therapy Dose Duration
Ceftriaxone 100mg/kg/d IV div q12h S. pneumoniae - 10-14 days
N. meningitidis - 5-7 days
H. influenzae - 10 days
Group B Strep, Listeria - 2-3 weeks
Enterobacterales- ≥ 3 weeks
If immunocompromised, add:    
Ampicillin 300mg/kg/d IV div q6h