Cephalosporins,Viral Pneumonia : First Second Third Generation Cephalosporin

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

Infectious Diseases in Children

Pneumonias in Children

Infectious Diseases in Children

HIV Infection

Malaria In Children

Tropical Splenomegaly Syndrome

Pneumonias In Children

Chickenpox

Varicella Zoster Virus

Clinical Manifestations Of Congenital Syphilis

H.influenzae - B Prevention Enteric Fever

Hand, Foot and Mouth Disease

Dengue and Dengue Hemorrhagic

H1N1 Influenza Epidemic

Varicella Infection in Pregnancy

Chikungunya - Indian Prespective

Enteric Fever

Otitis Media In Children

Utility of PCR Tests for Diagnosis of HIV in Infants Exposed to HIV Virus

Nonsurgical Treatment of Cystic Echinococcosis

Drug Resistant Tuberculosis in Children in India

Role of Quantiferon Gold Test (Interferon gamma release assay) for Diagnosis of Tuberculosis in Children

Clinical Tools

Clinical Vignettes

Diseases & Conditions

Drugs Interaction Calculator

Podcasts

Patient Management Online

Diagnostic Dilemma

Question of the Day

Diagnostic Aid

VACCINE REMINDER

"Get the Vaccine Schedule for your child."

Ask Queries

SPECIALIST ANSWERS

FIND DIAGNOSIS

Today's Poll

Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?

No, it should be used only after drug sensitivity report

Yes, under guidance of an infectious disease expert

Vote

Results

PNEUMONIAS IN CHILDREN

Cephalosporins

Related topics

Clinical Features and Causes

Diagnosis Treatment Bacterial and Viral Pneumonia Differentiation

Sequelae and Prognosis

Dr Ira Shah
M.D, DCH (Gold Medalist), FCPS, DNB

First generation cephalosporins:
They are useful against gram positive organisms and Proteus mirabilis, H influenzae, Escherichia coli, Klebsiella pneumoniae, and Moraxella catarrhalis.

Cephalexin: 50 mg/kg/day PO bid
Cefadur : 30-50 mg/kg/day PO bid.
Cefuroxime: 30 mg/kg/d PO bid, IV: 150-200 mg/kg/d IV divided q8h.
Cefalothin: 50 mg/kg/day PO qds / 100 mg/kg/day IV qds.

Second generation cephalosporin:
They are useful against gram positive organisms and have limited activity against gram negative organisms.

Cefaclor: 20-40 mg/kg/day PO tds.

Third generation cephalosporins:
They are broad-spectrum antibiotics having good gram-negative activity.

Cefixime: 8 mg/kg/day PO bid.
Ceftriaxone: 50-100 mg/kg/d IV/IM bd not to exceed 1 g.
Cefotaxime: 100-200 mg/kg/d IV/IM divided q6-8h.
Cefpodoxime: 10 mg/kg/d PO divided bid
Cefprozil: 30 mg/kg/d PO divided bid

Chloramphenicol: It is a bacteriostatic drug having good gram positive and gram negative coverage. It is given along with penicillin and is especially useful in patients with H. influenza infections. Dose: 100mg/kg/day IV/IM.

Septran : 21 mg/kg/day PO/IV for 21 days. Useful for PCP pneumonia.

Macrolides: They are used for treatment of staphylococcal and streptococcal infections. Also used in the treatment of atypical pneumonias due to mycoplasma, chlamydias.

Vancomycin is used in children with penicillin resistant streptococci and methicillin resistant staphylococci. Dose: 45-50 mg/kg/day IV qds

viral pneumonia:

RSV: Serious infections with this organism usually occur in infants with underlying lung disease. Aerosolized ribavirin can be given to severely affected infants.
Herpes virus: Acyclovir is available for treatment of these pneumonias. Dose: 10 mg/kg/dose IV q8h; infuse over 1 h
Influenza A pneumonia, which is particularly severe or when it occurs in a high-risk patient, may be treated with amantadine.
Children who are toxic: Antibiotic therapy should include vancomycin (particularly in areas where penicillin resistant streptococci have been identified) and a cephalosporin.

Next : Sequelae and Prognosis

Mail To Your Friend

Print This Article

Infectious Diseases : Expertise Views

Expertise Views On HIV Questions

Expertise Views On Malaria Questions

Expertise Views On Tropical Splenomegaly Questions

Expertise Views On Enteric Fever Questions

Expertise Views On Dengue Questions

Expertise Views On Pneumonias Questions

TOP SEARCH TERMS

Hand Foot Mouth Diseases

Haemophilus Influenzae B

Pneumonia

Tropical Splenomegaly

Varicella Zoster Virus

HIV

Post Exposure Prophylaxis

HIV Infection

HIV Infection Treatment

Hiv Antiretroviral Therapy

HIV in Children

Diseases & Conditions

Pediatric Oncall Journal

Pediatric Conferences

Ped Tools

Adverse Drug Reactions

Head Circuferences Calculator

Mid Parental Height Calculator

Body Surface Area Calculator

BMR Calculator

Temperature Calculator

Pediatric oncall book store

Partner Sites

Infection in Children

Pedcall

Medical ADRIS

Vaccine Reminder

Pediatric Oncall Journal

Educational Section

Disclaimer:

The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.

Sitemap For Doctor

Sitemap For Parent

Sitemap For Kids