What is the recommended dosage of Bactrim (trimethoprim/sulfamethoxazole) for a 9-year-old patient weighing 46 kg with Methicillin-resistant Staphylococcus aureus (MRSA) cellulitis?

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Bactrim Dosage for MRSA Cellulitis in a 9-Year-Old Weighing 46 kg

For a 9-year-old child weighing 46 kg with MRSA cellulitis, the recommended dosage of trimethoprim-sulfamethoxazole (TMP-SMX) is 8-12 mg/kg/day of the trimethoprim component divided into two doses every 12 hours for 5-10 days. 1, 2

Specific Dosing Calculation

Based on the patient's weight of 46 kg:

  • TMP component: 8-12 mg/kg/day = 368-552 mg/day
  • This translates to 184-276 mg of TMP per dose, given twice daily

In practical terms:

  • For this 46 kg child, 2 regular-strength tablets (80 mg TMP/400 mg SMX per tablet) or 1 double-strength tablet (160 mg TMP/800 mg SMX) twice daily would be appropriate 2
  • According to the FDA drug label weight-based dosing table, a child weighing 40-88 kg should receive 2 regular-strength tablets or 1 double-strength tablet every 12 hours 2

Treatment Considerations

Duration of Therapy

  • Treatment should continue for 5-10 days, depending on clinical response 1, 3
  • If the infection has not improved within 5 days, consider extending treatment or reevaluating the diagnosis 3

Monitoring

  • Monitor for clinical improvement within 48-72 hours
  • Watch for adverse effects including:
    • Gastrointestinal disturbances
    • Skin rashes
    • Hematologic abnormalities
    • Hyperkalemia

Weight-Based Dosing Importance

  • Adequate weight-based dosing (≥5 mg TMP/kg/day) is essential to prevent clinical failure 4
  • A study showed that inadequate dosing was independently associated with clinical failure in cellulitis (OR = 2.01, p = 0.032) 4

Alternative Options

If TMP-SMX cannot be used due to allergies or other contraindications:

  • Clindamycin: 10-13 mg/kg/dose orally every 6-8 hours, not exceeding 40 mg/kg/day 1
  • Linezolid: 10 mg/kg/dose orally every 8 hours, not to exceed 600 mg/dose 1
  • Doxycycline: For children ≥8 years old, 2 mg/kg/dose orally every 12 hours (not exceeding 100 mg per dose) 1

Important Caveats

  • TMP-SMX is not recommended for children under 2 months of age 2
  • TMP-SMX has excellent coverage for MRSA but may have limited activity against β-hemolytic streptococci 1
  • For severe infections with systemic symptoms, consider intravenous therapy with vancomycin (15 mg/kg/dose IV every 6 hours) 1
  • Incision and drainage should be performed if there is a purulent collection 1

By following these dosing guidelines and monitoring parameters, you can effectively treat MRSA cellulitis in this pediatric patient while minimizing the risk of treatment failure and adverse effects.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Guideline

Management of MRSA Infections

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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