Review previous microbiology results: If resistant target organisms previously isolated (e.g. MRSA, ESBL, known resistance to empirical antibiotic choices), discuss antibiotic choice with Paediatric and/or Microbiology Consultant.
User guide: for further advice regarding antimicrobial prescribing good practice, oral switch, penicillin allergy, dosing, and safety considerations: HERE
First line
IV piperacillin/tazobactam andIV gentamicin
Suspected staphylococcal infection (e.g. line-related sepsis, skin/soft tissue infection) OR known MRSA positive: addIV vancomycin / IV teicoplanin
Penicillin allergy
IV vancomycin andIV gentamicin
TOTAL duration
With clinical improvement, and on advice from Paediatric Consultant and/or Microbiology Consultant.
Comments
If haematology/oncology patient, discuss with appropriate specialist and seek local microbiology advice.
If patient known to Schiehallion, refer to Schiehallion neutropenia and fever policy: HERE
Editorial Information
Last reviewed:
20/02/2024
Next review date:
20/02/2026
Author(s):
Dr Jon van Aartsen (Consultant Microbiologist), Dr Jed Bamber (Consultant Paediatrician).
Version:
v1.0
Approved By:
AMT (20.02.2024) and ADTC (28.02.2024)
Reviewer name(s):
Dr Jed Bamber (Consultant Paediatrician), AMS Team.
NHS Dumfries & Galloway Antimicrobial Handbook
