Staph.aureus, Strep.pyogenes, Strep.pneumonia, Haemophilus spp.
If less than 7 years old - Ceftriaxone IV + flucloxacillin IV for 5-7 days (Strep.pneumoniae more likely)
If 7 years and older - Ceftriaxone IV + flucloxacillin IV + metronidazole IV/PO for 5-7 days (mixed organisms / Strep.pyogenes more likely)
If MRSA suspected - switch flucloxacillin to vancomycin IV
Vancomycin IV + Clindamycin IV /PO +/- Gentamicin IV (if no improvement)
Contact ENT + Ophthalmology team as soon as the child is admitted