-
CAP- Outpatient
healthy
no previous abx
Macrolide or Doxy
-
CAP-Outpatient
Comorbidities or
previous abx (past 3 months)
- Respiratory FQ (levo,moxi,gemi)
- B-lactam + macrolide or doxy
-
CAP- inpatient
General ward
- Respiratory FG (moxi,levo)
- B-lactam (IV) + macrolide or doxy
- ertapenem if gram - concern
-
CAP- inpatient
ICU
- B-lactam (IV) + azith
- B-lactam + respiratory FQ
- Ca-MRSA add vanc or linezolid
-
PSSP
- Pen G
- Amoxicillin
- Macrolides
- Cephs
- Resp FQ
- Doxy
-
PRSP
- Resp FQ
- Cefotaxime, ceftriaxone
- Vancomycin
- linezolid
- high dose amoxicillin
-
H. Flu
Non-B-lactamase producing
- Amoxicillin
- FQ
- Doxy
- Azith or clarith
-
H. Flu
B-lactamase producing
- 2nd or 3rd gen ceph
- amox/clav
- FQ
- Doxy
- Azith or clarith
-
Mycoplasma and chlamydophilia
-
-
MSSA
- Nafcillin
- oxacillin
- Cefazolin
- Clinda
-
-
anaerobe
- B-lactam/B-lacamase inhibitor
- Clinda
- Carbapenem
-
Enterobacteriaceae
- 3rd or 4th gen ceph
- carbapenem
- B-lactam/B-lactamase inhibitor
- FQ
-
-
Histoplasma
- Itraconazole
- Amphotericin B
-
HAP, VAP, HCAP
empiric
Early onset
no MDR risk factors
- Ceftriaxone
- levo, moxi, cipro
- amp/sul
- ertapenem
-
HAP, VAP, HCAP
empiric
Late onset
risk factors for MDR
- cefepime, ceftazidime
- meropenem, imipenem, doripenem
- Pip/Tazo
- AND
- Cipro, levo
- Tobra, gent, amik
- AND
- Linezolid
- Vanco
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