Antibiotics for severe community-onset pneumonia 

Atypical ...
2.2K
Description

Antibiotics for severe community-onset pneumonia 


Atypical coverage always 


- Usually azithromycin 500 mg daily 


- Doxycycline if animal exposure or 

contraindication to azithromycin 

Beta-lactam backbone 


- Usually ceftriaxone (safe for non•anaphylactic penicillin allergy) 

Consider two grams IV daily esp. in heavier patients. 

- Risk for pseudomonas: cefepime or piperacillin-tazobactam 


Septic Shock


Structural lung disease (severe COPD, bronchiectasis, cystic fibrosis) 


Broad-spectrum antibiotics for >7 days in past month 


Hospitalization for > 1 day in last three months 


Immunocompromise (e.g. chemotherapy, steroid > I Omg/d) 


Nursing home resident with poor functional status 


- History of penicillin anaphylaxis: meropenem 


- Don't use ceftazidime (poor gram-positive coverage) 

MRSA coverage? 


only in selected cases 


- Linezolid 1 st line 600 mg ql 2hr 


- Vancomycin 


#Community #Acquired #Pneumonia #CAP #Antibiotics #Coverage #Management
Contributed by

Dr. Gerald Diaz
@GeraldMD
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG:  https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
0 Comments

Related content