Acute Epiglottitis
Antimicrobial prescribing: NHS Fife
Clinical Features
- Dyspnoea
- Tachypnoea
- Stridor
- Fever
- Unable to swallow / drooling
Discuss patient with ENT
Investigation
Blood culture if febrile
Discuss respiratory tract investigations with ENT
Infection Control
Isolate with droplet precautions
Treatment
CEFTRIAXONE IV 2g 24 hourly
CEFTRIAXONE is a restricted antimicrobial for this indication and after the first dose, you will need an authorisation code
For true penicillin allergy:
Discuss with Microbiology