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Table 132-2

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
  1. 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

  2. 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

  3. An agent active against gram-positive bacterial pathogens:

    Linezolid (600 mg IV q12h) or

    Vancomycin (15 mg/kg q12h initially with adjusted doses)

Abbreviation: MDR, multidrug-resistant.