In the UK empiric treatment is usually with amoxicillin, erythromycin, 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 cephalosporins, carbapenems, fluoroquinolones, aminoglycosides, and vancomycin. These antibiotics are often given intravenously and may be used in combination.
Generic Name | Brand Name |
---|---|
amoxicillin | Amoxil, Dispermox |
azithromycin | Zithromax |
clarithromycin | Biaxin, Biaxin XL |
doxycycline | Doryx, Monodox, Vibramycin |
erythromycin | Eryc, EryPed, Ery-Tab |
trimethoprim and sulfamethoxazole combination | Bactrim, Septra, Sulfatrim |
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