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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