Antibiotic Protocol for Pediatric Cardiac Cases
Antibiotics are used for 2 purposes
- Curative purpose ( Table 1)
- Prophylactic purpose ( Table 2 )
Table 1: Protocol for curative purpose
| 1. Empirical use | 1st line drugs |
|
| 2nd line drugs |
|
|
| 3rd line drugs | a.3rd generation parenteral cephalosporine e.g
a. Ceftriaxone b. Cefotaxime c. Ceftazidime II. Vancomycin |
|
| 4th line drugs |
|
|
| 2. Definite use | Based on diagnosis along with culture sensitivity report (eg- Nitrofurantoin) | |
Table 2: Protocol for prophylactic purpose
| 2rd generation parenteral cephalosporin & 3rd generation parenteral cephalosporin (ceftriaxone) as prophylactic antibiotics before any interventional procedure (angiogram/ percutaneous device closure). |
Note:
- 1st line antibiotics can be prescribed by medical officer with acknowledgement of concerned specialist in-charge.
- 2nd line antibiotics can be prescribed by junior consultant with acknowledgement of concerned specialist in-charge
- 3rd& 4th line antibiotics will be prescribed by concerned specialist in-charge only.
- Fresh order of ICU should be updated daily
- Antifungal, antiviral, antiprotozoal, antimalarial, anti-tubercular are not included.
