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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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