By vgreene, 13 June, 2017 PCN G benzathine: 27 kg: 1.2 million units IM x1 (AHA,1 IDSA2). However, HFNZ3 places the pediatric cut-off at
By vgreene, 13 June, 2017 amoxicillin: 50 mg/kg PO daily x10 days; max: 1000 mg/day; alternate: 25 mg/kg PO bid x10 days; max: 500 mg/dose (AHA,1 IDSA,2 HFNZ3). However, HFNZ3 also stratifies the once-daily dosing as: 750 mg PO once daily x10 days if
By vgreene, 13 June, 2017 PCN VK: 250 mg PO qid or 500 mg PO bid x10 days. Children: 250 mg PO bid-tid x10 days (AHA,1 IDSA2). However, AHA1 also recommends that 500 mg PO tid x10 days might be appropriate
By vgreene, 13 June, 2017 >18 yo: perform RADT; back-up test not required; no abx tx if negative (AHA,2 IDSA4)
By vgreene, 13 June, 2017 3-18 yo: perform RADT; if negative, repeat RADT/perform TC; no abx tx if negative (AHA,2 IDSA3)
By vgreene, 13 June, 2017 Peer reviewed & based on multiple guidelines/recommendations from specialty societies/government agencies