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Peds Calc

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Cefaclor Indications & Clinical Uses

Evidence-based guide for pediatric prescribing

Cefaclor is an oral second‑generation cephalosporin indicated for select pediatric infections.

Primary FDA-Approved Indications

Label‑supported pediatric uses include acute otitis media (AOM), streptococcal pharyngitis/tonsillitis, skin and skin structure infections, and urinary tract infections.

Acute Otitis Media (AOM)

FDA Approved
Children ≥6 monthsLabel

Alternative when first‑line agents are unsuitable.

Treatment Duration

Standard: 10 days (Range: 7–10 days)

Evidence Sources

Cefaclor — FDA DailyMed ()

GAS Pharyngitis/Tonsillitis

FDA Approved
Children and adolescentsLabel

Alternative when penicillin or amoxicillin cannot be used; confirm GAS diagnosis.

Treatment Duration

Standard: 10 days

Evidence Sources

CDC — Strep Throat Clinical Guidance ()

Uncomplicated Skin and Skin Structure Infections

FDA Approved
Children and adolescentsLabel

Use organism‑directed therapy and local guidance.

Treatment Duration

Standard: 7–10 days

Evidence Sources

Cefaclor — FDA DailyMed ()

Uncomplicated Urinary Tract Infections

FDA Approved
Children and adolescentsLabel

Use guided by organism and susceptibility.

Treatment Duration

Standard: 7–10 days

Evidence Sources

Cefaclor — FDA DailyMed ()

Clinical Decision Support

Quick Selection Guide

Symptom Cluster 1

Symptoms:

  • Ear pain
  • Fever
  • Irritability

Likely Diagnosis:

AOM

Action:

If first‑line agents unsuitable, consider cefaclor

Red Flags & Warnings

Toxic appearance, severe dehydration

Urgent evaluation

Alternative Medication Options

Amoxicillin / Amox‑Clav

Aminopenicillin ± beta‑lactamase inhibitor

First‑line for many URIs unless contraindicated

Advantages
  • No documented advantages.
Disadvantages
  • No major disadvantages identified.

Parent Communication Guide

When This Medicine Helps

Understanding the Condition

Treats certain ear, throat, skin, and urinary infections.

Why We Choose This Medicine

Useful when common antibiotics can’t be used.

What to Expect

Symptoms usually improve in 48–72 hours; finish the course.

Monitoring Your Child

Signs the Medicine is Working:

  • Less pain
  • Lower fever
  • Better activity

When to Contact Your Doctor:

No improvement after: No better after 72 hours

Watch for these warning signs:

  • Severe headache
  • Neck stiffness
  • Breathing trouble
Last updated: 9/23/2025
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