Community-Acquired Pneumonia
Treatment
Outpatient
Inpatient
Anaerobes (bad teeth)
CURB 65
DRSP Risk Factors?
Zero
One or more
azithromycin (Z-Pak)
doxycycline
Something
Drug-resistant S. pneumo (DRSP) risk factors
Alcoholism
Immunosuppression
Comorbid conditions (e.g., chronic organ disaese)
Diabetes
Age > 65y
Exposure to child in daycare
"Respiratory quinolone": levofloxacin, moxifloxacin, gemifloxacin
Beta-lactam + macrolide
1st choice: amoxicillin or amox/clav
2nd choice: ceftriaxone, cefpodoxime proxetil, cefuroxime axetil
doxycycline can be subbed for the macrolide