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Pneumonia - Hospital Acquired
Hospital-acquired PNEUMONIA (HAP) (nosocomial) Common pathogens
Multi-drug resistance unlikely 
Ceftriaxone 1-2 grams IV q24h  OR
Ampicillin-sulbactam (Unasyn) 3.0 grams ivpb q6h  OR
Levofloxacin 750 mg IV/PO once daily
Multi-drug resistance LIKELY 
Piperacillin-tazobactam 3.375g ivpb q6h OR
Cefepime 2 grams IV every 12 hours OR
Meropenem 1 gm IV q8h

PLUS (If MRSA suspected)
Vancomycin - (patient-specific regimen - trough goal 15-20 mcg/ml)

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References - Infectious Disease Section
Infectious Disease References

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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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