Neonatal Intensive Care Drug Manual




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Practice Points

The pharmacokinetics of clavulanate has not been evaluated in neonates. Further trials are needed to establish the safety and efficacy of iv-to-oral switch therapy in neonates, although some efficacy data exist for infants >1 month age. [9] [LOE I GOR C], Amoxicillin-clavulanic acid should be considered a 2nd line agent for infants with WHO defined non-, severe community-acquired pneumonia. There are no data for infants <3 months age. [LOE I, GOR B], Amoxicillin-clavulanate should be considered a 2nd line agent for infants with a urinary tract infection, or for oral to IV switch therapy for pyelonephritis with a sensitive organism for infants >1 month age.[LOE I GOR B],


References

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  2. MIMS online. Amoxicillin-clavulanic acid. Accessed on 21st October 2019.

  3. Kucers’ The use of antibiotics. A clinical review of antibacterial, antifungal, antiparasitic andantiviral drugs. 6th ed. Grayson LM CS, McCarthy JS, Mills J, Mouton JW, Norrby SR, Paterson DL,

  4. Pfaller PA, editor: CRC Press, Taylor & Francis Group; 2013.BNFC https://www.medicinescomplete.com.acs.hcn.com.au/#/content/bnfc/_522717287?hspl=augmen tin#DMD94411000001100

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  8. Huttner A, Bielicki J, Clements MN, Frimodt-Moller N, Muller AE, Paccaud JP, Mouton JW. Oral amoxicillin and amoxicillin-clavulanic acid: properties, indications and usage. Clinical Microbiology and Infection. 2020.

  9. Keij FM, Kornelisse RF, Hartwig NG, Reiss IKM, Allegaert K, Tramper-Stranders GA. Oral antibioticsfor neonatal infections: A systematic review and meta-analysis. J Antimicrob Chemother. 2019;74:3150-61.

  10. Magin EC, Garcia-Garcia JJ, Sert SZ, Giralt AG, Cubells CL. Efficacy of short-term intravenousantibiotic in neonates with urinary tract infection. 2007; 1:83-6.

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  12. Venekamp RP, Burton MJ, van Dongen TMA, et al. Antibiotics for otitis media with effusion in children. Cochrane Database of Systematic Reviews 2016, Issue 6. Art. No.: CD009163.

  13. Fitzgerald A, Mori R, Lakhanpaul M, Tullus K. Antibiotics for treating lower urinary tract infection inchildren. Cochrane Database Syst Rev. 2012:CD006857.

  14. Michael M, Hodson EM, Craig JC, Martin S, Moyer VA. Short versus standard duration oral antibiotic therapy for acute urinary tract infection in children. Cochrane Database Syst Rev. 2003:CD003966.

  15. Sanchez UC, Balaguer A. Treatment for the urinary low tract infection. A study of 5 antibiotics. Anales Espanoles de Pediatria. 1990; 33(Suppl 41):85-6.

  16. Strohmeier Y, Hodson EM, Willis NS, Webster AC, Craig JC. Antibiotics for acute pyelonephritis in children. Cochrane Database Syst Rev. 2014:CD003772.

  17. Fleisher GR, Wilmott CM, Campos JM. Amoxicillin combined with clavulanic acid for the treatment of soft tissue infections in children. Antimicrob Agents Chemother. 1983; 24:679-81.

  18. Kar PK. Use of Amoxicillin and Clavulanic Acid (Augmentin) in the Treatment of Skin and Soft Tissue Infections in Children. Med J Armed Forces India. 1997; 53:87-90.

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  21. Lonnerholm G, Bengtsson S, Ewald U. Oral Pivampicillin and amoxycillin in newborn infants. Scandinavian Journal of Infectious Diseases. 1982; 14:127-30.






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Neonatal Intensive Care Drug Manual

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