Head Injuries - antibiotic prophylaxis/treatment
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For more information on the management of head injuries see full Ghana STG. This section will only cover antibiotic use.
Pharmacological treatment - antibiotic prophylaxis/ treatment
For fracture base of skull
Evidence Rating: [A]
- Cloxacillin, IV,
Adults
500 mg 6 hourly
Children
5-12 years; 250 mg 6 hourly
1-5 years; 125 mg 6 hourly
< 1 year; 62.5 mg 6 hourly
For open skull fractures
- Amoxicillin + Clavulanic Acid, IV,
Adults
600 mg 8 hourly
Children
25 mg/kg 6 hourly
And
- Metronidazole, IV,
Adults
500 mg 8 hourly
Children
7.5 mg/kg 8 hourly
And
Evidence Rating: [B]
- Benzylpenicillin, IV,
Adults
1.2-2.4 g 6 hourly
Children
50 mg /kg 6 hourly