Table 1. Empiric choice of antibiotics for CAP.
Setting | Route | <65 years old, no antibiotics within 90 days and no comorbidities | ≥65 years, antibiotics with 90 days or comorbidity* | Alternative |
---|---|---|---|---|
Outpatient | PO | Amoxicillin | Amoxicillin-clavulanate or a second generation cephalosporin | Moxifloxacin or levofloxacin |
Inpatients (non-severe) | PO/IV | Ampicillin | Amoxicillin-clavulanate or cefuroxime or a third generation cephalosporin | Moxifloxacin or levofloxacin |
Inpatients (severe/ICU) | IV | Amoxicillin-clavulanate or cefuroxime or a third generation cephalosporin plus a macrolide/azalide | Amoxicillin-clavulanate or cefuroxime or a third generation cephalosporin plus a macrolide/azalide | Moxifloxacin or levofloxacin plus amoxicillin-clavulanate or cefuroxime or a third generation cephalosporin |
*, cardiovascular disease, chronic respiratory disease, chronic renal failure, diabetes mellitus, HIV infection. CAP, community-acquired pneumonia.