Pneumonia

Indicators Requirements
Blood Cultures within 24 hrs of arrival for patients transferred or admitted to ICU Blood cultures must be ordered on patients transferred to or admitted to ICU
Initial antibiotic selection See recommendations

Recommendations

Non ICU

  • Ceftriaxone (IV or IM) + azithromycin (IV or oral)
    Or
  • Levofloxacin (IV or oral)

Non-ICU with pseudomonal risk

  • Zosyn (IV) + Levofloxacin (IV)

Non-ICU with beta-lactam allergy and pseudomonal risk

  • Aztreonam + Levofloxacin

ICU

  • Ceftriaxone (IV) + azithromycin (IV)
    Or
  • Piperacillin/tazobactam (IV) + azithromycin (IV)
    Or
  • Levofloxacin + Piperacillin/tazobactam (IV)
    if documented ß-lactam allergy:
  • Levofloxacin (IV) + aztreonam (IV)

**Levoflaxacin should be used in 750mg dosage when used in management of patients with pneumonia.

Reference