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