Acute Bronchitis: Viral origin. Antibiotics NOT needed. Use symptomatic treatment and bronchodilators if wheezing.
Adult Pneumonia (5-7 Days)
| Patient | Antibiotic | Dosing |
|---|---|---|
| No Comorb | Amoxycillin (Pref) | 500-1000mg q8h |
| With Comorb | Amoxy/Clav (Pref) | 625mg q8h |
Paediatric Pneumonia (5 Days)
Preferred: Amoxicillin 80-90mg/kg/day PO q8-12h.
| Weight Band | Dosing (q12h) | ||
|---|---|---|---|
| 3-5kg: 250mg | 6-9kg: 375mg | 10-14kg: 500mg | 15-19kg: 750mg |
Observation: If TM intact & non-severe (T < 39°C), observe for 48-72h with analgesia before starting antibiotics.
Adult Dosing (5-7 Days)
| Status | Antibiotic | Dosing |
|---|---|---|
| Preferred | Amoxycillin | 500mg PO q8h |
| Alternative | Amoxy/Clav | 625mg PO q8h |
Paediatric Dosing (80-90mg/kg/d)
Duration: < 2 yrs (7-10 days) | ≥ 2 yrs (5-7 days). Use 14:1 Amoxy/Clav ratio if amoxicillin used within 30 days.
Strep Score: Antibiotics only if Score ≥ 3.
Adult Dosage (5-10 Days)
| Antibiotic | Dosing |
|---|---|
| Penicillin V | 500mg q6h or 1g q12h |
| Amoxicillin | 500mg q8h |
Paediatric Dosage (10 Days)
| Antibiotic | Dosing (Max 1g/day) |
|---|---|
| Amoxicillin | 50mg/kg/day PO q12-24h |
Likely ABRS: Fever >38°C, discoloured mucus, double sickening, or severe pain.
Adult & Paeds (5 Days)
| Adult | Amoxy/Clav 625mg q8h |
|---|---|
| Paeds | Amoxycillin 80-90mg/kg/d q12h |
Alarm Symptoms: Periorbital edema, double vision, or visual changes → REFER IMMEDIATELY.
Antibiotics: NOT needed for standard viral AGE. Focus on ORS and clear fluids.
Referral Criteria
- High grade fever > 3 days or signs of sepsis.
- Dysentery: Passage of grossly bloody stool.
- Immunocompromised host.
Abscess: Primary Rx is I&D. Antibiotics (5-7 days) only if extensive cellulitis or comorbidities.
Cellulitis Adult (5-10 Days)
| Antibiotic | Dosing |
|---|---|
| Cephalexin | 1000mg PO q12h |
| Cloxacillin | 500mg PO q6h |
Paediatric SSTI (5-7 Days)
Weight >25kg: Use adult dosing.
| Antibiotic | Dosing (Max 2g/day) |
|---|---|
| Cephalexin | 25-50mg/kg/day PO q12h |
| Cloxacillin | 50-100mg/kg/day PO q6h |
Adult Cystitis (5 Days)
| Status | Antibiotic | Dosing |
|---|---|---|
| Preferred | Nitrofurantoin | 100mg PO q12h (MR) |
| Preferred | Cephalexin | 500mg PO q6-12h |
Contraindication: Nitrofurantoin if eGFR < 30 ml/min.
Diagnosis: Treat only if CFU ≥ 10⁵ (or ≥ 10⁴ for GBS).
ASB Management (5 Days)
| Antibiotic | Dosing |
|---|---|
| Cephalexin | 1-2g/day (divided 2-4x) |
| Nitrofurantoin | 100mg PO q12h (MR) |
Symptomatic Pregnancy: Send urine C&S and start immediate treatment (5-7 days).
| Preferred | Cephalexin 1-2g/day (divided) |
|---|---|
| Preferred | Nitrofurantoin 100mg q12h (MR) |
Avoid: Nitrofurantoin in 3rd trimester. Amoxy/Clav increases NEC risk in preterms.