Your activity: 8 p.v.

Antibiotics for suspected shigellosis in children in resource-limited settings

Antibiotics for suspected shigellosis in children in resource-limited settings
Antibiotic Route Typical pediatric dose Comment(s)
Preferred agents
Ciprofloxacin Oral 30 mg/kg/day (divided twice daily) for 3 days Multi-dose therapy is preferred.
Azithromycin Oral

15 mg/kg initial dose on day 1

10 mg/kg daily on days 2-5

 
Alternative agents
Ceftriaxone IM/IV 50-100 mg/kg once daily for 2-5 days Ceftriaxone is the preferred empiric therapy for severe infections and infections refractory to other therapies.
Pivmecillinam Oral 80 mg/kg/day (divided 4 times daily) for 5 days
Resistance to amoxicillin, trimethoprim-sulfamethoxazole, and chloramphenicol (original first-line therapies) is too widespread to justify their empiric use for invasive diarrhea in developing countries.
IM: intramuscular; IV: intravenous.
Modified from: World Health Organization. Guidelines for the control of shigellosis, incuding epidemics due to Shigella dysenteriae 1. World Health Organization, Geneva 2005.
Graphic 66147 Version 3.0