Surgical Site Infection
Review after 48 hours.
Always consider the need for imaging and surgical debridement.
Take swabs for culture before starting antibacterial treatment.
Preferred
co-amoxiclav po (see dosing table below)
|
Age |
co-amoxiclav oral dose |
|
1 month to 11 months |
0.5mL/kg of 125mg/31mg/5mL suspension TDS |
|
1 year to 5 years |
10mLs of 125mg/31mg/5mL suspension TDS |
|
6 years to 17 years |
One 625mg tablet TDS OR 10mLs of 250mg/62mg/5mL suspension TDS if patient cannot take tablets |
If severe infection consider:
co-amoxiclav 30mg/kg (Max 1.2g) iv TDS (BD if 1-2 months old)
Alternative
For penicillin allergy (non-severe and severe)
Under 6 weeks: Discuss with Paediatric ID
6 weeks and over: co-trimoxazole 18mg/kg (max 960mg) iv BD in severe infection
Oral switch: co-trimoxazole po, see dosing table below:
|
Age |
co-trimoxazole oral dose |
|
6 Weeks to 5 Months |
120mg BD |
|
6 Months to 5 Years |
240mg BD |
|
6 Years to 11 years |
480mg BD |
|
12 years to 17 years |
960mg BD |