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. 2019 Jul-Aug;45(4):e20190122. doi: 10.1590/1806-3713/e20190122

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.