Gonorrhea / Infants and Children (4 weeks – 12 years)

Bacteremia or Arthritis
Recommended Regimen

Among Children Weighing ≤45 kg: 

Ceftriaxone 50 mg/kg body weight (maximum dose: 2 g) IM or IV in a single dose daily every 24 hours for 7 days  

Among Children Weighing >45 kg: 

Ceftriaxone 1 g IM or IV in a single dose daily every 24 hours for 7 days 

Alternative Regimen

None

Uncomplicated Gonococcal Vulvovaginitis, Cervicitis, Pharyngitis, or Proctitis
Recommended Regimen

Among Infants and Children Weighing ≤45 kg: 

Ceftriaxone 25–50 mg/kg body weight IV or IM in a single dose, not to exceed 250 mg IM 

Among Children Weighing >45 kg: 

Treat with the regimen recommended for adults (see Gonococcal Infections) 

Alternative Regimen

None

Page last reviewed: July 16, 2021
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