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. 2021 Dec 30;70(Suppl 4):S567–S583. doi: 10.33549/physiolres.934767

Table 3.

Antibiotics (dose, schedule, administration route) used in the treatment of aspiration pneumonia for patients with normal renal function (adjusted according to Mandall and Niederman 2019).

Antibiotic Dose, Schedule, Administration route
Ampicillin–sulbactam 1.5–3 g every 6 h, intravenous
Amoxicillin–clavulanate 875 mg twice daily, oral
Piperacillin–tazobactam 4.5 g every 8 h or 3.375 g every 6 h, intravenous
Ceftriaxone 1–2 g once daily, intravenous
Cefepime 2 g every 8–12 h, intravenous
Ertapenem 1 g once daily, intravenous
Imipenem 500 mg every 6 h or 1 g every 8 h, intravenous
Meropenem 1 g every 8 h, intravenous
Levofloxacin 750 mg once daily, intravenous or oral
Moxifloxacin 400 mg once daily, intravenous or oral
Clindamycin 450 mg 3/4 times daily, oral; or 600 mg every 8 h, i.v.
Gentamicin or tobramycin 5–7 mg/kg once daily, intravenous
Amikacin 15 mg/kg once daily, intravenous
Colistin 9 million IU per day in 2/3 divided doses, i.v.
Vancomycin 15 mg/kg every 12 h, intravenous
Linezolid 600 mg every 12 h, intravenous or oral

For gentamicin and tobramycin, the dose should be adjusted to a trough level of less than 1 mg per litre, less than 4 mg per litre for amikacin, and 10 to 15 g per millilitre for vancomycin.

The loading dose is 6 million to 9 million IU.