Pediatric Guidelines for Antibiotic Use

The Johns Hopkins Hospital Antibiotic Guidelines are available as a 305-page handbook that is updated annually based on up-to-date literature reviews, national guidelines, and expert opinion. Suggested management approaches have been developed with multidisciplinary input. The guidelines also contain detailed recommendations for pediatric dosing from the neonatal period to adult sized patients.

Below are example sections from the JHH Pediatric Antibiotic Guidelines. Please read and accept the following disclaimer before downloading the examples. Access to the full guidelines for JHH providers can be found on the Pediatric Antimicrobial Stewardship Program Intranet.

© Copyright 2023 by The Johns Hopkins Hospital Pediatric Antimicrobial Stewardship Program. All rights reserved. No part of this publication may be reproduced without permission in writing from The Johns Hopkins Hospital Pediatric Antimicrobial Stewardship Program.

These guidelines were developed by Alice Jenh Hsu Pharm.D., BCPS, AQ-ID, and Pranita D. Tamma, MD, MHS, Co-Directors of the Pediatric Antimicrobial Stewardship Program, in collaboration with experts in medical and surgical pediatric subspecialties at The Johns Hopkins Hospital.

Important Note:

The recommendations given in this guide are meant to serve as suggested recommendations. They should NOT supplant clinical judgment or Infectious Diseases consultation when indicated. The recommendations were developed for use at The Johns Hopkins Hospital and thus may not be appropriate for other settings. We have attempted to verify that all information is correct and up to date, but because of new evidence, recommendations may change.

By clicking the "accept" button, you agree to become bound by the terms of this Agreement. If you do not agree to these terms, click "decline." READ THE FOLLOWING TERMS IN THIS AGREEMENT CAREFULLY BEFORE INDICATING YOUR ACCEPTANCE:

  1. You may not modify, copy, reproduce, republish, upload, post, transmit, or distribute, in any manner, the material on the site without permission in writing from The Johns Hopkins Hospital Pediatric Antimicrobial Stewardship Program.
  2. You may print out portions of the most current version of the Copyrighted Materials, but only for a) your personal clinical, educational, or research use or b) consulting with individual colleagues. You are not permitted to delete, edit, or copy portions of the Copyrighted Materials.
  3. Any copying, distribution, or modification of the Copyrighted Materials is strictly prohibited. No part of the Copyrighted Materials may be copied for resale or other commercial use, or posted on public bulletin boards, web sites, Internet domains, or online chatrooms. No part of the Copyrighted Materials may be reverse engineered or included in other software.
  4. The editors and authors of the Copyrighted Materials have carefully tried to create the identified diagnosis measures, treatment alternatives and drug dosages in the Copyrighted Materials that conform to the standards of professional practice that prevailed at the time of publication. However, standards and practices in medicine change as new data become available and the individual medical professional should consult a variety of sources. For this reason, only the most current release of the Copyrighted Materials should be consulted when information is sought. New updates of the Copyrighted Materials are issued annually; do not rely on older versions. In addition, when prescribing medications, the user is advised to check the product information sheet accompanying each drug to verify conditions of use and identify any changes in dosage schedule or contraindications, particularly if the agent to be administered is new, infrequently used, or has a narrow therapeutic range.

LIMITATION OF LIABILITY: IN NO EVENT WILL THE JOHNS HOPKINS HOSPITAL PEDIATRIC ANTIMICROBIAL STEWARDSHIP PROGRAM OR ANY OTHER PARTY WHO HAS BEEN INVOLVED IN THE CREATION, PRODUCTION, PROMOTION OR MARKETING OF THE COPYRIGHTED MATERIALS BE LIABLE TO YOU OR ANY OTHER PARTY FOR ANY SPECIAL, INDIRECT, INCIDENTAL, RELIANCE, EXEMPLARY, OR CONSEQUENTIAL DAMAGES, INCLUDING LOSS OF DATA OR PROFITS, OR FOR INABILITY TO USE THE COPYRIGHTED MATERIALS, EVEN IF THE JOHNS HOPKINS HOSPITAL PEDIATRIC ANTIMICROBIAL STEWARDSHIP PROGRAM OR SUCH OTHER PARTY HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES.

Should you have any questions regarding this Agreement, you may contact The Johns Hopkins Hospital Pediatric Antimicrobial Stewardship Program via the contact webpage.

To purchase print copies of the 2023-2024 JHH Pediatric Antibiotic Guidelines book, please complete this form. Your email address will be used for contact regarding payment and shipping. The cost of the book and shipping are $35 and $30, respectively. Payment will be made via Zelle. Shipment will occur within 5-7 business days from time of form submission.