Case Study 2: Antibiotic Stewardship in a Pediatric Patient with Pneumonia
Objective: Explore appropriate antibiotic selection, dosing, and resistance concerns in pediatric care.
Patient Profile:
- Age: 6
- Gender: Female
- Weight: 44 lbs (20 kg)
- Medical History: Recurrent ear infections, no known drug allergies
- Current Medications: None
- Diagnosis: Community-Acquired Pneumonia (CAP)
Instructions for Students:
- Identify the most likely pathogens causing pneumonia in this age group and discuss antibiotic options.
- Select an appropriate antibiotic regimen, including dosing, route, and frequency, based on guidelines for pediatric CAP.
- Evaluate the risk of antibiotic resistance and the importance of antibiotic stewardship in this case.
- Monitor: Define what clinical signs/symptoms and laboratory findings should be monitored to ensure the therapy is effective.
- Adjust: Outline any considerations if the patient fails to respond to first-line therapy or develops adverse effects.
- Counsel: Provide key teaching points for parents on the correct use of antibiotics, potential side effects, and the importance of completing the prescribed course.
