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i saw that same question referred to by “xyz”…azithro and clarithro are preferred over erythro given lower s/e profile and easier dosing (esp with azithro)…per PIR 2012;33:412 (this is not referenced in this year’s PREP Study Guide – an article related to varicella is – not sure about that!) – see below excerpt:
“For many years, the standard regimen for the treatment of pertussis in children has been administration of oral erythromycin. Recent studies have demonstrated equal efficacy and improved tolerability of other macrolides, such as azithromycin. (8) Azithromycin is associated with fewer adverse gastrointestinal events, may be dosed once daily, and does not inhibit the cytochrome P450 system, and therefore may be preferable. In addition, erythromycin has been associated with an increased risk of pyloric stenosis when administered to infants in the first 2 weeks after birth. (9)”
just found it – recent article in medscape titled “A Soccer Player With a Headache: Best Practices”…good luck!
sorry – i didn’t complete my thought – i believe i saw somewhere that this process can take couple of days (non-specific, i know), but i can’t find that source right now…will post again if i do! hope that helps!
patient should be symptom-free (including no more nausea) and then needs to progress through several levels of activity as outlined on page 77 of this Pediatrics In Review article (2008; 29: 75)…would anyone have other thoughts?
well, of course i find part of an answer after i’ve sent this message (PIR 2009; 30: 243)…but which scenario would lead you to use culture?
can i piggyback on this as general question regarding CPR (not just adolescents)?
in the past, “airway” first has always been the correct answer…with current AHA guidelines, we’re taught “CAB” (instead of “ABC”)…what’s “correct” for the 2012 boards?
