Table 2. Empirical initial treatment for mild CAP that can be treated on an outpatient basis (10).
Severity class | Primary treatment (standard dose) | Alternative treatment (standard dose) |
Mild pneumonia without comorbidity, outpatient treatment | Amoxicillin (750–1000 mg tid) | Moxifloxacin (400 mg qd) Levofloxacin (500 mg qd or bid) Clarithromycin (500 mg bid) Azithromycin (500 mg qd × 3 d) Doxycycline (200 mg qd) |
Mild pneumonia with comorbidity, outpatient treatment – Congestive heart failure – Neurologic disease with dysphagia – Severe COPD, bronchiectasis – Bedridden state, PEG |
Amoxicillin/clavulanic acid (1 g tid) | Moxifloxacin (400 mg qd) Levofloxacin (500 mg qd or bid) |
CAP,community-acquired pneumonia; COPD, chronic obstructive pulmonary disease; PEG, percutaneous endoscopic gastrostomy