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::* 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-lactam]] {{and}} [[macrolide]](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: [[doxycycline]] as an alternative to [[macrolide]] {{or}} [[fluoroquinolone]] for [[penicillin allergic patients]]
:::* Preferred regimen in Penicillin allergic patients: [[Fluoroquinolone]] {{and}} [[aztreonam]]
:::* Preferred regimen for Community acquired methicillin resistant staphylococcus aureus infection: [[vancomycin]] {{or}} [[linezolid]]
 
 
 
::* 3. '''Inpatient Intensive care unit treatment'''


==References==
==References==
{{reflist}}
{{reflist}}

Revision as of 17:22, 15 July 2015

  • 1. Community-acquired pneumonia




References

  1. 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.
  2. Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.