When leptospirosis is diagnosed in a pediatric patient or in a pregnant woman, the standard adult antibiotic of choice is not appropriate. This scenario requires a specific alternative oral regimen tailored to these two populations.
Children and pregnant women with leptospirosis should not receive doxycycline. The contraindication applies to both groups, and an appropriate oral antibiotic must be selected in its place.
An oral antibiotic — used in place of doxycycline — is indicated for both pediatric patients and pregnant women with leptospirosis. The specific agent, dosing, and full clinical algorithm are available in the complete protocol.
DOI: 10.3389/fmicb.2024.1403765
It is recommended that children and pregnant women avoid the consumption of doxycycline.
Amoxicillin and azithromycin should be administered to children and pregnant women instead of doxycycline.
Amoxicillin or azithromycin is orally consumed by both children and pregnant females.
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