Empirical Antibiotic Treatment of Health Care-Associated Pneumonia
Patients without Risk Factors for MDR Pathogens |
Ceftriaxone (2 g IV q24h) or cefotaxime (2 g IV q6-8 h) or Moxifloxacin (400 mg IV q24h), ciprofloxacin (400 mg IV q8h), or levofloxacin (750 mg IV q24h) or Ampicillin/sulbactam (3 g IV q6h) or Ertapenem (1 g IV q24h) |
Patients with Risk Factors for MDR Pathogens |
- A β-lactam:
Ceftazidime (2 g IV q8h) or cefepime (2 g IV q8-12h) or Piperacillin/tazobactam (4. 5 g IV q6h) or Imipenem (500 mg IV q6h or 1 g IV q8h) or meropenem (1 g IV q8h) plus - A second agent active against gram-negative bacterial pathogens:
Gentamicin or tobramycin (7 mg/kg IV q24h) or amikacin (20 mg/kg IV q24h) or Ciprofloxacin (400 mg IV q8h) or levofloxacin (750 mg IV q24h) plus - An agent active against gram-positive bacterial pathogens:
Linezolid (600 mg IV q12h) or Vancomycin (15 mg/kg q12h initially with adjusted doses)
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Abbreviation: MDR, multidrug-resistant.