Saturday, May 14, 2011

Pneumonia treatment

In the UK empiric treatment is usually with amoxicillinerythromycin, or azithromycin for community-acquired pneumonia. In North America, where the "atypical" forms of community-acquired pneumonia are becoming more common, macrolides (such as azithromycin), and doxycycline have displaced amoxicillin as first-line outpatient treatment for community-acquired pneumonia. The use of fluoroquinolones in uncomplicated cases is discouraged due to concerns of side effects and resistance.The duration of treatment has traditionally been seven to ten days, but there is increasing evidence that short courses (three to five days) are equivalent. Antibiotics recommended for hospital-acquired pneumonia include third- and fourth-generation cephalosporinscarbapenemsfluoroquinolonesaminoglycosides, and vancomycin. These antibiotics are often given intravenously and may be used in combination.



Generic NameBrand Name
amoxicillinAmoxil, Dispermox
azithromycinZithromax
clarithromycinBiaxin, Biaxin XL
doxycyclineDoryx, Monodox, Vibramycin
erythromycinEryc, EryPed, Ery-Tab
trimethoprim and sulfamethoxazole combinationBactrim, Septra, Sulfatrim

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