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Table 1 2007 Infectious Diseases Society of America/American Thoracic Society Guideline Recommendations for empirical therapy for community-acquired pneumonia

From: Severe community-acquired pneumonia in general medical wards: outcomes and impact of initial antibiotic selection

Inpatients, non-ICU treatment

A respiratory fluoroquinolonea

A nonantipseudomonal β-lactamb plus a macrolidec

Inpatients, ICU treatment

A nonantipseudomonal β-lactamb plus either azithromycin or a respiratory fluoroquinolonea

If Pseudomonas is a concern

An antipneumococcal, antipseudomonal β -lactamd plus either ciprofloxacin or levofloxacin

or

The above β-lactam plus an aminoglycosidee and azithromycin

or

The above β-lactam plus an aminoglycosidee and a respiratory fluoroquinolonea

  1. ICU: intensive care unit
  2. aLevofloxacin, or moxifloxacin
  3. bCefotaxime, ceftriaxone, ampicillin/sulbactam, or ertapenem
  4. cAzithromycin, clarithromycin, or erythromycin
  5. dPiperacillin-tazobactam, cefepime, imipenem, or meropenem
  6. eAccording to Thai guidelines for the management of adults with community-acquired pneumonia, adding an aminoglycoside is optional. An aminoglycoside may be added to the initial antibiotic regimens only if multi-drug resistant Pseudomonas infection is suspected