Sandbox ID Head and Neck: Difference between revisions
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===Otitis externa, Malignant=== | ===Otitis externa, Malignant=== | ||
*Otitis externa | |||
:*Preferred Regimen : [[Ciprofloxacin]] 400 mg IV q8h | |||
:*Alternative Regimen : [[Piperacillin-Tazobactam]] 3.375g IV q4h {{and}} [[Tobramycin]] 3–5 mg/kg/day IV q8h | |||
:*Other Regimens for Susceptible Pseudomonas : [[Imipenem]] 0.5 g IV q6h {{or}} [[Meropenem]] 1 g IV q8h {{or}} [[Cefepime]] 2 g IV q12h {{or}} [[Ceftazidime]] 2 g IV q8h | |||
===Otitis externa, Swimmer's ear=== | ===Otitis externa, Swimmer's ear=== |
Revision as of 21:05, 5 June 2015
Anthrax, oropharyngeal
Buccal cellulitis
Cervico-facial actinomycosis
- Preferred treatment : High doses (18-24 million units a day) of intravenous penicillin G over two to six weeks, followed by oral penicillin V at a dose of 2-4 g/day for six to 12 months.
- Alternate treatment : Doxycycline, minocycline, clindamycin, and erythromycin are suitable for patients who are allergic to penicillin. Erythromycin is a safe option for pregnant patients.
Deep neck infection
Facial cellulitis
Mastoiditis
Mastoiditis, Acute
Mastoiditis, Chronic
Odontogenic infection
Orbital cellulitis
Oropharyngeal candidiasis
- Preferred treatment : Clotrimazole troches 10 mg 5 times daily OR nystatin suspension or pastilles qid (B-II) OR fluconazole 100–200 mg daily (A-I)
- Alternate treatment : Itraconazole solution 200 mg daily OR posaconazole 400 mg qd (A-II) OR voriconazole 200 mg bid OR AmB oral suspension (B-II) OR IV echinocandin OR AmB-d 0.3 mg/kg daily (B-II) (Fluconazole is recommended for moderate-to-severe disease, and topical therapy with clotrimazole or nystatin is recommended for mild disease. Treat uncomplicated disease for 7–14 days. For refractory disease, itraconazole, voriconazole, posaconazole, or AmB suspension is recommended)
Otitis externa
Otitis externa, Chronic
Otitis externa, Fungal
Otitis externa, Malignant
- Otitis externa
- Preferred Regimen : Ciprofloxacin 400 mg IV q8h
- Alternative Regimen : Piperacillin-Tazobactam 3.375g IV q4h AND Tobramycin 3–5 mg/kg/day IV q8h
- Other Regimens for Susceptible Pseudomonas : Imipenem 0.5 g IV q6h OR Meropenem 1 g IV q8h OR Cefepime 2 g IV q12h OR Ceftazidime 2 g IV q8h