ISBP 2B2 E3 Bronchiolitis and others

1st line treatment for Bronchiolitis: VIRAL

• Supportive care

  - PO fluids and antipyretics = outpatient

  - Oxygen and IV = inpatient

• Symptomatic and supportive

  - Analgesic/antipyretic (aspirin, Acetaminophen, ibuprofen)

• Bordatella pertussis (whooping cough)

  - Macrolide (azithromycin or clarithromycin) or Trimethoprim / Sulfamethoxazole (Bactrim)

1st line treatment for Bronchitis: VIRAL

• Supportive care

  - PO fluids and antipyretics = outpatient

  - Oxygen and IV = inpatient (also Nebulized hypertonic saline)

• Symptomatic and supportive

  - Analgesic/antipyretic (aspirin, Acetaminophen, ibuprofen)

• Bordatella pertussis (whooping cough)

  - Macrolide (azithromycin or clarithromycin) or Trimethoprim / Sulfamethoxazole (Bactrim)

1st line treatment for Folliculitis treatment

• - Warm moist compresses

  - Topical therapy (clindamycin, erythromycin,

  mupirocin, or benzoyl peroxide)

• - Small = moist heat

  - Large = incision and drainage

• - Incision and drainage

• - PO Trimethoprim / Sulfamethoxazole (Bactrim)

  - tetracycline (TCA) – doxycycline

  - Mupirocin ointment (location nasal)

1st line treatment for Furuncles treatment

• - Warm moist compresses

  - Topical therapy (clindamycin, erythromycin,

  mupirocin, or benzoyl peroxide)

• - Small = moist heat

  - Large = incision and drainage

• - Incision and drainage

• - PO Trimethoprim / Sulfamethoxazole (Bactrim)

  - tetracycline (TCA) – doxycycline

  - Mupirocin ointment (location nasal)

1st line treatment for Carbuncles treatment:

• - Warm moist compresses

  - Topical therapy (clindamycin, erythromycin,

  mupirocin, or benzoyl peroxide)

• - Small = moist heat

  - Large = incision and drainage

• - Incision and drainage

• - PO Trimethoprim / Sulfamethoxazole (Bactrim)

  - tetracycline (TCA) – doxycycline

  - Mupirocin ointment (location nasal)

1st line treatment for Folliculitis, furuncles, carbuncles SEVERE infection treatment

• - Warm moist compresses

  - Topical therapy (clindamycin, erythromycin,

  mupirocin, or benzoyl peroxide)

• - Small = moist heat

  - Large = incision and drainage

• - Incision and drainage

• - PO Trimethoprim / Sulfamethoxazole (Bactrim)

  - tetracycline (TCA) – doxycycline

  - Mupirocin ointment (location nasal)

1st line treatment for Erysipelas

• - Penicillin G

  - Penicillin VK

• - Clindamycin (Penicillin allergy)

• - Topical mupirocin ointment

  - Retapamulin ointment

• -  First-generation cephalosporins- cephalexin

1st line treatment for Impetigo: skin infection in children around mouth

• - Penicillin G

  - Penicillin VK

• - Clindamycin (Penicillin allergy)

• - Topical mupirocin ointment

  - Retapamulin ointment

• -  First-generation cephalosporins- cephalexin

1st line treatment for MILD Purulent cellulitis treatment:

• - Incision and drainage

• - Trimethoprim / Sulfamethoxazole (Bactrim)

  - Doxycycline

• - Vancomycin

• - Penicillin

• - Combo: Vancomycin + piperacillin-tazobactam (zosyn)

1st line treatment for MODERATE Purulent cellulitis treatment

• - Incision and drainage

• - Trimethoprim / Sulfamethoxazole (Bactrim)

  - Doxycycline

• - Vancomycin

• - Penicillin

• - Combo: Vancomycin + piperacillin-tazobactam (zosyn)