Omphalitis/Funisitis

- Recommend blood culture.

 
Usual Pathogens

S. aureus/MRSA
Group B Streptococci
Enterobacterales
Group A Streptococci
Anaerobes

 

Empiric Therapy Dose Duration
Cloxacillin 200mg/kg/d IV div q6h 10-14 days
+    
Cefotaxime 200mg/kg/d IV div q6h  
+    
Metronidazole 30mg/kg/d IV div q12h  

MRSA suspected

Empiric Therapy Dose Duration
Vancomycin 60mg/kg/d IV div q6h 10-14 days
+    
Cefotaxime 200mg/kg/d IV div q6h  
+    
Metronidazole 30mg/kg/d IV div q12h