Neonates

- Bone cultures recommended as occasionally other organisms may be involved.

- If meningitis is possible (e.g. fever, lethargy, or poor feeding), recommend lumbar puncture.

 
Usual Pathogens

S. aureus
Group A, B Strep
Enterobacterales

 

Empiric Therapy Dose Duration
Cefotaxime 200mg/kg/d IV div q6h 4-6 weeks

Neonate/mother colonized with MRSA

Empiric Therapy Dose Duration
Vancomycin 45mg/kg/d IV div q8h 4-6 weeks
+    
Cefotaxime 200mg/kg/d IV div q6h