Antimicrobial prescribing: NHS Forth Valley
Important: Therapy
Co-amoxiclav 1.2g IV 8 hourly
If previous Pseudomonas isolated from ear swabs:
Piperacillin-Tazobactam (Tazocin) 4.5g IV 6 hourly
Acute mastoiditis
Important: Therapy
Ceftriaxone 2g IV daily AND Metronidazole 500mg IV 8 hourly
Alternative or if previous Pseudomonas isolated from ear swabs:
Levofloxacin 500mg PO/IV 12 hourly AND Metronidazole IV 500mg 8 hourly
(consider safety issues)
Notes:
Important: Notes
Treatment duration: 7-14 days. May require longer if severe/extensive infection