Neonates

- Strongly consider an LP.

- Tailor antibiotic therapy to C&S results.

 
Usual Pathogens

Coagulase negative Staph
S. aureus/MRSA
Enterobacterales
Group B Streptococci

 

Empiric Therapy

Dose

Duration
Cloxacillin 200mg/kg/d IV div q6h ≥ 7 days
+    
Gentamicin 4-5mg/kg IV q24h  

If post op heart surgery, central venous line or very low birth weight or high institutional MRSA rate

Empiric Therapy Dose Duration
Vancomycin 45mg/kg/d IV div q8h ≥ 7 days
+    
Gentamicin 4-5mg/kg IV q24h  

Severely ill

Empiric Therapy

Dose

Duration
Vancomycin 45mg/kg/d IV div q8h ≥ 7 days
+    
Meropenem 60-90mg/kg/d IV div q8h