Guidelines
Mastoiditis

Mastoiditis

Consults

ENT, ID and/or relevant subspecialty team(s) if required

Clinical Considerations

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.

First Choice

Cefotaxime may be interchanged with ceftriaxone for children over 30 days old and not on calcium-containing parenteral products (e.g. TPN)

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Penicillin Allergy

Cefotaxime may be interchanged with ceftriaxone for children over 30 days old and not on calcium-containing parenteral products (e.g. TPN)

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Review Daily

Adjust treatment according to microbiologic results as soon as they become available.

Additional Information