Sandbox carlos: Difference between revisions
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:::* Preferred regimen:[[fluoroquinolone]] | :::* Preferred regimen:[[fluoroquinolone]] | ||
:::* Preferred regimen in level one evidence: [[beta-lactam]]{{and}}[[macrolide]](Preferred [[beta-lactam]] agents include [[cefotaxime]], [[ceftriaxone]], and [[ampicillin]]; [[ertapenem]] for selected patients | :::* Preferred regimen in level one evidence: [[beta-lactam]]{{and}}[[macrolide]](Preferred [[beta-lactam]] agents include [[cefotaxime]], [[ceftriaxone]], and [[ampicillin]]; [[ertapenem]] for selected patients | ||
:::* Preferred regimen in level | :::* Preferred regimen in level two evidence: [[beta-lactam]] ([[cefotaxime]], [[ceftriaxone]], or [[ampicillin-sulbactam]]) {{and}} either [[azithromycin]] {{or}} [[fluoroquinolone]]:::* Preferred regimen in level three evidence: [[doxycyclinea]] as an alternative to [[macrolide]] {{a}} [[fluoroquinolone]] for [[penicillin-allergic patients]] | ||
:::* Preferred regimen in level | :::* Preferred regimen in penicillin-allergic patients: [[Fluoroquinolone]] {{and}} [[aztreonam]] | ||
==References== | ==References== | ||
{{reflist}} | {{reflist}} | ||
Revision as of 14:53, 15 July 2015
- Mycoplasma pneumoniae
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-
- 1. Community-acquired pneumonia
- Preferred regimen: Macrolide OR Tetracycline
- Alternative regimen: Fluoroquinolone
- 2. Outpatient treatment
- 2.1 Previously healthy and no risk factors for drug-resistant Streptococcus pneumoniae infection:
- Preferred regimen:Macrolides (azithromycin, clarithromycin, OR erythromycin) (strong recommendation)
- Alternative regimen: Doxycycline
- 2.2 Preferred regimen in presence of comorbidities, such as chronic heart, lung, liver, or renal disease; diabetes mellitus; alcoholism; malignancies; asplenia; immunosuppressing conditions or use of immunosuppressing drugs; use of antimicrobials within the previous 3 months or other risks for drug resistant Streptococcus pneumoniae infection: Option A Fluoroquinolone (moxifloxacin, gemifloxacin, OR levofloxacin Option B beta-lactam AND a macrolide
- 2.3 Preferred regimen in regions with a high rate of infection macrolide resistant S. pneumoniae: Fluoroquinolone (moxifloxacin, gemifloxacin, OR levofloxacin and beta-lactam AND a macrolide
- 3. Inpatient non Intensive care unit treatment
- Preferred regimen:fluoroquinolone
- Preferred regimen in level one evidence: beta-lactamANDmacrolide(Preferred beta-lactam agents include cefotaxime, ceftriaxone, and ampicillin; ertapenem for selected patients
- Preferred regimen in level two evidence: beta-lactam (cefotaxime, ceftriaxone, or ampicillin-sulbactam) AND either azithromycin OR fluoroquinolone:::* Preferred regimen in level three evidence: doxycyclinea as an alternative to macrolide Template:A fluoroquinolone for penicillin-allergic patients
- Preferred regimen in penicillin-allergic patients: Fluoroquinolone AND aztreonam
References
- ↑ Mandell LA, Wunderink RG, Anzueto A, Bartlett JG, Campbell GD, Dean NC; et al. (2007). "Infectious Diseases Society of America/American Thoracic Society consensus guidelines on the management of community-acquired pneumonia in adults". Clin Infect Dis. 44 Suppl 2: S27–72. doi:10.1086/511159. PMID 17278083.
- ↑ Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.