Sepsis or febrile illness (source unknown) - community acquired
- Micro-organism
Neonates - Group B strep, Gram -ve bacilli
1-3 months - Strep pneumoniae, N.meningitides, Listeria, H.influenza
> 3 months - various pathogens
First Line
Neonates - Benzylpenicillin + gentamicin IV for 5-7 days
1-3 months - Cefotaxime + amoxicillin +/- metronidazole IV for 7-10 days
> 3 months - Ceftriaxone for 7 to 10 days
Anaphylaxis (including severe skin reactions) to penicillin / cephalosporins
> 3 months - Vancomycin IV + Gentamicin IV + Metronidazole IV for 7-10 days
- Notes
Add IV aciclovir if herpes simplex suspected
Discuss with microbiology if no improvement