Table 2.
Primary care regimen | Hospital admission regimen | ICU admission regimen |
---|---|---|
Oral amoxicillin 1g/8h or oral amoxicillin-clavulanic 875/125 mg/8h (if asthma or COPD) or cefditoren 400mg/12h (alternative) | Ceftriaxone 2g/24h iv or cefotaxime 2g/8h iv or ceftaroline 600mg/12h iv (if post-influenza pneumonia or risk of S. aureus) | Ceftriaxone 2g/24h iv or cefotaxime 2g/8h iv or ceftaroline 600mg/12h iv |
Plus | Plus | |
Macrolide (oral azithromycin 500mg/24h/ 3 days or clarithromycin 500mg/12h) | Oral/iv macrolide (azithromycin 500mg/24h /3 days or clarithromycin 500mg/12h) | Macrolide (azithromycin 500mg/24h iv or clarithromycin 500mg/12h iv) or quinolone (levofloxacin 500mg/12h or moxifloxacin 400mg/24h) |
or | or | |
Levofloxacin500mg/12h (1-2 days) and then 500mg/24h or Moxifloxacin 400mg/24h | Levofloxacin 500mg/12h iv (1-2 days) and then 500mg/24h or moxifloxacin 400mg/24h iv | If risk factors for MDR bacteria: Meropenem 1g/8h iv + Levofloxacin 500 mg/12h iv + Ceftaroline 600mg/12h iv or Linezolid 600mg/12 h iv |