30mL/kg fluids
broad spectrum antibiotics appropriate for suspected infection
overwhelming majority of cases are from streptococcus
treat empirically with antibiotics
amoxicillin-clavulanate: 90mg/kg amox per day in children divided into two doses; 875 mg/125 BID for adults
cefuroxime: 30mg/kg per day in children divided into two doses; 500mg BID for adults
levofloxacin 750 mg once daily (adults or adolescents only)
moxifloxacin 400 mg once daily (adults or adolescents only)
gemifloxacin 320 mg once daily (adults or adolescents only)
amoxicillin-clavulanate: 90mg/kg amox per day in children divided into two doses; 875 mg/125 BID for adults
cefuroxime: 30mg/kg per day in children divided into two doses; 500mg BID for adults
levofloxacin 750 mg once daily (adults or adolescents only)
moxifloxacin 400 mg once daily (adults or adolescents only)
gemifloxacin 320 mg once daily (adults or adolescents only)
4 doses of PCV13 before 15 months
PPSV23 at least 8 weeks after last PCV13, first at age 2
2nd dose of PPSV23 3 years after first
(if<unk>  is >6years and has not received PCV13 or PPSV23, dose 1 time with PCV13 then dose with PPSV23 8 weeks later)
(if<unk>  is >6years but <18 years and has not received PCV13 but has received PPSV23, dose 1 time with PCV13 at least 8 weeks after last PPSV23)
(if<unk>  is >18 years and has not received PCV13 but has received PPSV23, dose 1 time with PCV13 at least 1 year after last PPSV23)
Redose PPSV23 every 5 years
Hib conjugate vaccine for all unvaccinated<unk> s above the age of 5 years
inactivated influenza vaccine yearly
Neisseria meningitidis vaccine for<unk>  adults
(if<unk>  is >6years and has not received PCV13 or PPSV23, dose 1 time with PCV13 then dose with PPSV23 8 weeks later)
(if<unk>  is >6years but <18 years and has not received PCV13 but has received PPSV23, dose 1 time with PCV13 at least 8 weeks after last PPSV23)
(if<unk>  is >18 years and has not received PCV13 but has received PPSV23, dose 1 time with PCV13 at least 1 year after last PPSV23)
Daily Penicillin VK or amoxicillin
for children up to age of 5 or for 1 year following splenectomy
potentially up to age of 18 for highly immunocompromised individuals
Asplenic patient
Bacterial infection 
Combative patient
Streptococcus pneumonia
The obese patient
Haemophilus influenzae type B
Severe anemia in Jehovah's Witness patients
Neisseria meningitidis