Most Likely Pathogens
Neurology, Neurosurgery, ID and/or relevant subspecialty team(s) if required
Before starting antimicrobial therapy, take blood/urine/CSF and/or other relevant samples for culture wherever possible.
Consider the need for dose adjustments (e.g. renal impairment) and age-related contraindications for antimicrobials.
Cefotaxime may be interchanged with ceftriaxone for children over 30 days old and not on calcium-containing parenteral products (e.g. TPN).
As anti-MRSA agent (current local MRSA rates are available via the hospital antibiogram)
Adjust treatment according to microbiologic results as soon as they become available.
MRSA Risk Factors
The following factors have been associated with MRSA in previous studies: