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Doses of oral antibiotics commonly used in the treatment of osteoarticular infections in infants and children >1 month of age*

Doses of oral antibiotics commonly used in the treatment of osteoarticular infections in infants and children >1 month of age*
Oral agent Dose
Amoxicillin 100 mg/kg per day divided in 4 doses; maximum dose 4 g/day
Cefadroxil 100 to 150 mg/kg per day divided in 2 doses; maximum dose 2 g/day
Cefixime 8 mg/kg per day divided in 1 or 2 doses; maximum dose 400 mg/day
Cephalexin 75 to 150 mg/kg per day divided in 3 or 4 doses; maximum dose 4 g/day (some experts recommend up to 6 g/day in 4 divided doses)
Clindamycin 30 to 40Δ mg/kg per day divided in 3 doses; maximum dose 2.7 g/day
Cloxacillin 125 mg/kg per day divided in 4 doses; maximum dose 4 g/day
Dicloxacillin§ 100 mg/kg per day divided in 4 doses; maximum dose 4 g/day
Linezolid

<12 years: 30 mg/kg per day divided in 3 doses; maximum dose 1.8 g/day

≥12 years: 600 mg twice per day
Penicillin V 150 mg/kg per day divided in 6 doses; maximum dose 2 g/day

* Refer to UpToDate topics on treatment of bacterial arthritis and osteomyelitis in children for details regarding indications for particular drugs.

¶ Recommended doses are for patients with normal renal function. Beta-lactam antibiotics administered orally for osteoarticular infections generally are given in higher doses than those used for treatment of other infections and recommended in package inserts.

Δ 40 mg/kg per day is preferred for children ≥3 months.

◊ Cloxacillin is not available in the United States.

§ Dicloxacillin suspension is no longer available.
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