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No altered mental state of Altered mental state of acute Need for mechanical
acute onset onset ventilation
No suspected aspiration Suspected aspiration
No or stable comorbid Decompensated co-morbid
conditions condition
https://www.cdc.gov/legionella/downloads/fs-legionnaires.pdf
L. PNEUMOPHILA
Ertapenem 1 gm
OD
ASPIRATION PNEUMONIA
Cefuroxime 1.5 g
q 8h IV
Ceftriaxone 2g
OD
High Risk CAP – RISK for P. Aeruginosa
IV PLUS
antipneumococcal IV extended or aminoglycoside
pseudomonal B- macrolides
lactam (BLIC,
Cephalosporins or
carbapenem)
Piperacillin- Azithromycin Gentamicin
tazobactam 4.5 dihydrate 500 mg 3mg/kg OD or
gm q6h IV OD IV Amikacin 15
Or mg/kg OD
Cefipime 2 gm
q8-12h
OR Meropenem 1
gm q8h
High Risk CAP – RISK for P. Aeruginosa
IV PLUS
antipneumococcal IV Ciprofloxacin/ high dose levofloxacin
pseudomonal B-
lactam (BLIC,
Cephalosporins or
carbapenem)
Piperacillin- Levofloxacin 750 mg OD IV
tazobactam 4.5
gm q6h IV OR
Or
Cefipime 2 gm Ciprofloxacin 400 mg q8-12h IV
q8-12h
OR Meropenem 1
gm q8h
IF MRSA PNEUMONIA IS SUSPECTED, ADD
Autonomy
Beneficence
Non-maleficence
Justice