Template:Tularemia antibiotics

Postexposure Prophylaxis

Active Disease

  • Streptomycin 1g (15mg/kg) IM q12hrs daily x 10 days (First line) OR
  • Gentamicin 5mg/kg/day IV/IM once daily x 10 days OR
  • Ciprofloxacin 400mg (15mg/kg) IV q12hrs x 10 days OR
  • Doxycycline 100mg (2.2mg/kg) IV q12hrs x 14 days OR
  • Chloramphenicol 15mg/kg IV q6hrs x 14 days
  • Streptomycin 1g IM q12h x10 days; Maximum dose: 2 g/day (adjust dose based on serum levels)
  • Streptomycin 15mg/kg IM q12h x10 days; Maximum dose: 2 g/day (adjust dose based on serum levels)

Pediatric

  • Gentamicin 2.5mg/kg IV/IM q8hrs x 10 days
  • Doxycycline 2.2mg/kg PO/IV q12hrs x 14 days (max 100mg/dose)
  • Ciprofloxacin 15mg/kg PO/IV q12hrs x 10 days (max 500mg PO / 400mg IV)