Page 144 - HPP ANTIMICROBIAL GUIDELINE 2018
P. 144
RESPIRATORY INFECTIONS
Suggested Treatment
Infection/ Condition Comments
Preferred Alternative
Community Acquired Pneumonia
(CAP)
Outpatient Amoxicillin 500mg PO q8h for 5-7 Amoxicillin/clavulanate 625mg PO
days q8h for 5-7 days
Or
Doxycycline 100mg PO q12h for 1
week
Inpatient Amoxicillin/clavulanate 1.2gm IV q8h Ceftriaxone 2g IV q24h for 5-7 days To switch to oral therapy when
for 5-7 days clinical condition improves and
PLUS/MINUS patient is able to tolerate orally
PLUS/MINUS Azithromycin 500mg IV/PO q24h for
Azithromycin 500mg IV/PO q24h 3-5 3-5 days
days
Viral pneumonia
Influenza Oseltamivir 75mg PO q12h for
5 days
Varicella zoster
Acyclovir 10mg/kg IV q8h for 7 days
Lung Abscess and empyema Ampicillin/sulbactam 3gm IV q6h Ceftriaxone 2gm IV q24h Drained abscess / empyema may
require 2 -4 weeks of antibiotics
OR PLUS/MINUS Undrained abscess/ empyema
Amoxicillin/clavulanate 1.2gm IV q8h Metronidazole 500mg IV q8h may require 4-6 weeks of
antibiotics
HPP AMG Respiratory Infections 67
