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Amoxicillin and clavulanate tablets usp cefepime and tetracycline monotherapy (3 tablets) as follows:
Week 28-36 for cefepime and tetracycline monotherapy (4 tablets) as follows:
For non-clavulanate-resistant organisms
Week 1-6: tetracycline 100 - 1000 mg daily for 30 days, depending upon the emergence of resistance
For non-clavulanate-sensitive organisms
Week 7-15: tetracycline 100 mg daily for 7 days, depending upon the emergence of resistance and adherence to cephalosporin therapy
For cephalosporin resistant organisms
Week 1-6: cefepime 200 mg daily, Generic viagra pharmacy online or 500 and monotherapy for 7 days, depending upon the emergence of resistance
Erythromycin
Clinical Trials Experience with erythromycin
In an open, randomized, active-control trial in children hospitalized for acute otitis media conducted in 2000 to 2001, erythromycin (5,000 mcg) with or without a single-dose of penicillin monotherapy or cephalosporin plus erythromycin (100 mg) was administered to children who had uncomplicated cases of acute otitis media.[18] There was no difference in the effectiveness of erythromycin or alone.[19] However, given the limited data of efficacy erythromycin in this study, including the absence of clear evidence supporting the use of erythromycin as an antibiotic choice for the initial therapy or benefit observed against erythromycin alone,[18] the following guidelines are derived to aid in the selection of erythromycin for initial therapy in children with uncomplicated otitis media.
Patients with the following clinical characteristics at study entry are considered to be likely benefit from initial therapy with erythromycin:
Unexplained fever;
Fever on onset of the active period should be investigated before initiating erythromycin therapy;
Patients with fever of unknown origin should be admitted to the acute care unit;
Preliminary evaluation of airway management should occur.
Dosages
The following dose recommendations are those of the North American Society Anaesthesiology.
Children
If the diagnosis of acute otitis media is uncertain
Initial therapy with a single-dose of cefepime 500 mg followed by a single-dose of erythromycin 200 mg and followed by a single-dose of erythromycin 800 mg with or without penicillin should be performed at the expense of erythromycin treatment. If the diagnosis of acute otitis media is uncertain, or if cefepime erythromycin is not available, other antimicrobial agents may be started as needed. The starting dose should not exceed 12 g per day when either a single-dose of cefepime 800 mg is used or erythromycin as monotherapy.
Patients with established chronic otitis media
Clinical trial and observational studies have not demonstrated efficacy of.
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