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Pneumonia (Aspiration)

Aspiration pneumonia Common pathogens
Community acquired:  
Clindamycin 600mg ivpb every 6 to 8 hours or 
Augmentin 875mg PO bid or 500mg tid x 10 days
Hospital acquired:
Piperacillin-tazobactam 3.375g ivpb q6h OR
Ampicillin-sulbactam (Unasyn) 1.5-3.0 grams ivpb q6h. OR
Cefoxitin 2 grams ivpb q6-8h or  Cefotetan 1-2 grams IV q12h.  OR
[Cefotaxime 2g ivpb q8h or Ceftriaxone 2 grams ivpb q24h] + Clindamycin 600mg IV q6-8h. OR
Clindamycin 600mg IV q6-8h + [Ciprofloxacin 400mg IV q12h  or  Levofloxacin 500 - 750mg IV qd. ]
Hospital acquired: (Cover most common pathogens + possibility of aspiration) Common pathogens
 Piperacillin-tazobactam 3.375 grams IV every 6 hours + Ciprofloxacin 400mg IV q12h  or   
Cefepime 2 grams IV every 12 hours + Clindamycin 600mg IV every 6 hours. 

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References - Infectious Disease Section

Infectious Disease References

Disclaimer

The authors make no claims of the accuracy of the information contained herein; and these suggested doses are not a substitute for clinical judgement. Neither GlobalRPh Inc. nor any other party involved in the preparation of this program shall be liable for any special, consequential, or exemplary damages resulting in whole or part from any user's use of or reliance upon this material.
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