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How Is Bacterial Community-Acquired Pneumonia Treated in Adults?

How Is Bacterial Community-Acquired Pneumonia Treated in Adults?

Severity

Possible Medications

Comments

Mild pneumonia in otherwise healthy people with no risk factors*

Amoxicillin

Doxycycline

Azithromycin

Clarithromycin

Medications are taken by mouth.

People are treated at home.

Mild pneumonia in people with risk factors*

Amoxicillin

Amoxicillin/clavulanic acid

Cefpodoxime

Cefuroxime

Azithromycin

Clarithromycin

Doxycycline

Levofloxacin

Moxifloxacin

Medications are usually taken by mouth.

Often, more than one medication is taken.

People are treated at home.

Moderate pneumonia

or

Pneumonia in people who cannot care for themselves

Cefotaxime

Ceftriaxone

Azithromycin

Levofloxacin

Moxifloxacin

Medications are usually given intravenously in a hospital.

Often, more than one medication is given.

Severe pneumonia in people with many risk factors*

Some of the same medications used for moderate pneumonia:

Aztreonam

Cefepime

Ciprofloxacin

Imipenem/cilastatin

Linezolid

Vancomycin

Meropenem

Piperacillin/tazobactam

Medications are usually given intravenously in an intensive care unit.

Usually, more than one medication is given.

* Risk factors include heart or lung disorders, cancer, alcohol use disorder, age older than 65 years, recent use of antibiotics, and a weakened immune system (for example, because of HIV, organ transplantation, or use of medications that suppress the immune system).

* Risk factors include heart or lung disorders, cancer, alcohol use disorder, age older than 65 years, recent use of antibiotics, and a weakened immune system (for example, because of HIV, organ transplantation, or use of medications that suppress the immune system).