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Table 3 Summary of antibiotic prescription

From: Rare case of necrotizing tonsillitis causing severe airway infection in an infant: a case report

Day of Hospital Admission

Tissue Microbiology and Sensitivity

Antibiotic Prescribed

Comment

Before hospital admission

-

Oral amoxicillin

-

Day 1

-

IV benzylpenicillin

Empirical antimicrobial agent for tonsillitis

Day 2

-

IV ceftriaxone, IV cloxacillin, IV gentamicin

Escalated antimicrobial therapy due to deterioration in overall clinical condition, to cover for gram negative sepsis

Day 7

Pseudomonas aeruginosa sensitive to cefepime, amikacin, ceftazidime, gentamicin

IV cefepime, IV amikacin

Adjusted antimicrobial therapy based on tissue microbiology and antimicrobial susceptibility testing, covering for hospital acquired infection

Day 10

Stenotrophomonas maltophilia sensitive to trimethoprim/ sulfamethoxazole

IV trimethoprim-sulfamethoxazole

Adjusted antimicrobial therapy based on tissue microbiology and antimicrobial susceptibility testing, covering for hospital acquired infection