Community Acquired Pneumonia Regimen

Question 1

Outpatient previously healthy

Answer 1

Macrolide or Doxycycline

Question 2

Outpatient w/ comorbidity (or antibiotic use in 3 months) monotherapy

Answer 2

Respiratory FQ

Question 3

Outpatient w/ comorbidity (or antibiotic use in 3 months) combination therapies

Answer 3

Advanced macrolide/ Doxycycline
+
amoxicillin OR Augmentin

Question 4

CAP comorbidities

Answer 4

COPD, DM, liver or renal failure, CHF, alcoholism, cancer, asplenia

Question 5

Outpatient w/ Suspected aspiration with infection

Answer 5

Augmentin or Clindamycin

Question 6

Outpatient w/ Influenza with bacterial superinfection

Answer 6

Oral BL OR Respiratory FQ

Question 7

Hospitalized general ward

Answer 7

Respiratory FQ
OR
Advanced ML + BL

Question 8

Hospitalized (Intensive Care Unit)

P. aeruginosa but no BL allergy

Answer 8

Antipseudomonal BL + one of the following

1) Cipro or 2) Levofloxacin
3) (aminoglycoside + azithromycin)
4) antipseudomal FQ + aminoglycoside

Question 9

Hospitalized (Intensive Care Unit)

No P. aeruginosa or BL allergy

Answer 9

BL + one of the following

azithromycin or respiratory FQ

Question 10

Hospitalized (Intensive Care Unit)

P. aeuroginosa and BL allergy

Answer 10

Substitute aztreonam for the antipseudomonal BL

1) Ciprofloxacin, 2) levofloxacin
3) an aminoglycoside PLUS azithromycin
4) an antipseudomal FQ PLUS an aminoglycoside

Question 11

Hospitalized (Intensive Care Unit)

No P. aeuroginosa and BL allergy

Answer 11

Respiratory FQ ± clindamycin