OSSA/MSSA - Cephalexin 50-75mg/kg/day PO div TID OR Augmentin 80-90mg/kg/day PO div BID x5-7 days. I&D when indicated.
If MRSA prevalent or if recurrent abscess, send specimen for culture and sensitivity. Treat with clindamycin 40mg/kg/day IV div Q6 or TMP-SMX 5mg/kg/dose TMP Q6-8. If toxic-appearing, use vancomycin.
Start IV: Clindamycin 40mg/kg/day IV div Q6 if high community incidence of MRSA. May use nafcillin 200mg/kg/day IV div Q6 OR cefazolin 100mg/kg/day IV div Q8 if low incidence of MRSA. Transition to PO when stable. If no improvement, change to vancomycin (dose by age).
PO: Cephalexin 50-75mg/kg/day divided TID OR dicloxacillin 50mg/kg/day PO div Q6. Total duration of treatment 7-10 days.
Penicillin G IV, then transition to penicillin V or amoxicillin PO;x10 days.
Mupirocin topical to lesions TID, cleanse with soap and water. Bathe daily. If extensive, treat with cephalexin PO or amoxicillin-clavulanate x5-7 days.
Empiric: Cefotaxime AND clindamycin x10 or more days.
Funisitis (local infection of cord): cord care, topical antimicrobials.
Local wound care and I&D unless signs of spreading infection, then consider Augmentin or clindamycin.
Avoid TMP-SMX.
May use one of many topical antifungal agents: Terbinafine 1% cream or gel BID to affected areas; clotrimazole 1% cream, lotion or solution; others include Econazole, Sulconazole, Oxiconazole, Naftifine, Cicloprox, Ketoconazole, Sertaconazle, Moconazole and Tolnaftate. Treat for 14 days. Keep affected areas dry.
Griseofulvin Microsize 10-20mg/kg/day div Q12-24 (max 1000mg/day) OR Griseofulvin Ultramicrosize >2 years 5-10mg/kg/day div Q12-24 x6 weeks] AND Selenium sulfide shampoo twice weekly x1 week as directed.

Treat all bat and feral cat exposures with both HRIG and Rabies vaccine as below. Otherwise, treat with vaccine and contact public health officials or infection control for advice on whether to treat with HRIG. Monitor animal for 10 days.
High rates of infection. Do not close open wounds!
MSSA: Augmentin 90mg/kg/day PO div BID OR Cephalexin 100mg/kg/day PO div QID x10 days. If IV needed, cefazolin 100mg/kg/day IV div Q8.
MRSA: Clindamycin OR TMP-SMX OR linezolid OR vancomycin (age based dosing) x7-10 days total.
Lymphadenitis common in axillary/epitrochlear nodes (46%), neck (26%), inguinal (17%). Treat for immunocompromised host of signs of systemic illness;(HSM).
May also use Bactrim, rifampin and ciprofloxacin. Duration of therapy is uncertain.
Pediatric antibiotics
OB/GYN antibiotics
Skin and soft tissue antibiotics
Newborn resuscitation
Post exposure prophylaxis antibiotics
Baby feeding and nutrition
Sepsis antibiotics
Neuro antibiotics