Table 1.
Anti-microbial therapy
Antibiotic | Route | Adult dosage/day | Dosage:mg/kg/day | Duration (in days) |
---|---|---|---|---|
First-line antibiotics : | ||||
Chloramphenicol | Oral, IV | 500 mg qid | 50 mg/kg in 4 doses @ | 14 |
Trimethoprim-Sulfamethoxazole | Oral, IV | 160/800 mg bid | 4-20 mg/kg: in 2 doses | 14 |
Ampicillin/Amoxycillin | Oral, IM, IV | 1000-2000 mg qid | 50-100 mg/kg: in 4 doses | 14 |
Second-line antibiotics: | ||||
Fluoroquinolones | ||||
Ciprofloxacin | Oral/IV | 500 mg bid/200 mg bid | NA | 10-14 |
Norfloxacin | Oral | 400 mg bid | NA | 10 |
Pefloxacin | Oral, IV | 400 mg bid | NA | 10 |
Ofloxacin | Oral | 400 mg bid | NA | 14 |
Ceph alosporins | ||||
Ceftriaxone | IM, IV | 1-2 gm bid | 50-75 mg/kg: in 1-2 doses | 7-10 |
Cefotaxime | IM, IV | 1-2 gm bid | 40-80 mg/kg: in 2-3 doses | 14 |
Cefoperazone | IM, IV | 1-2 gm bid | 50-100 mg/kg: in 2 doses | 14 |
Cefixime | Oral | 200-400 mg od/bid | 10 mg/kg: in 1-2 doses | 14 |
Other antibiotics: | ||||
Aztreonam | IM | 1 gm/bd-qid | 50-70 mg/kg: 2-4 | 5-7 |
Azithromycin | Oral | 1 gm od | 5-10 mg/kg:1 | 5 |
Dose of chloramphenicol may be reduced to 25 mg/kg after defervescence.