Chart 4. Main treatment regimens recommended for the treatment of primary Pseudomonas aeruginosa infection in bronchiectasis patients.
| Treatment regimen | Dose | Frequency |
|---|---|---|
| Oral antibiotic + inhaled antibiotic | ||
| Oral: Ciprofloxacin + |
500-750 mga
|
12/12 h for 14-21 days |
| Inhaled: Gentamicin or Nebulized tobramycin or Colistimethate** |
80 mg 300 mg 1,000,000 IU |
12/12 h for 3 months 12/12 h for 3 months 12/12 h for 3 months |
| Intravenous antibiotic (antipseudomonal beta-lactam + aminoglycoside) + inhaled antibiotic | ||
| Intravenous: Ceftazidime or Cefepime or Piperacillin + tazobactam or Meropenem + |
2 g 2 g 4.5 g 2 g |
8/8 h (14 days) 8/8 h (14 days) 6/6 h or 8/8 h (14 days) 8/8 h (14 days) |
| Intravenous: Amikacin or Gentamicin or Tobramycin + |
20-30 mg/kg/day (max 1.5 g/day) 3-5 mg/kg/day (max 160 mg/day) 10 mg/kg/day (max 660 mg/day) |
24/24 h (14 days) 24/24 h (14 days) 24/24 h (14 days) |
| Inhaled: Gentamicin or Nebulized tobramycin or Colistimethateb |
80 mg 300 mg 1,000,000 IU |
12/12 h (3 months) 12/12 h (3 months) 12/12 h (3 months) |
Max: maximum. aThe dose of 750 mg, p.o., 12/12 h is indicated for patients weighing more than 50 kg. bIf inhaled antibiotics are not available, consider treating the primary infection with systemic antibiotics alone.