A 59-year-old with hospital-acquired pneumonia (late onset) and prior IV antibiotics is at high risk for MDR pathogens. Which empiric principle applie...

Question

A 59-year-old with hospital-acquired pneumonia (late onset) and prior IV antibiotics is at high risk for MDR pathogens. Which empiric principle applies?

Accepted Answer

Cover Pseudomonas with two agents if high risk plus MRSA coverage

Answer

Aminoglycoside monotherapy is adequate

Answer

No need for MRSA coverage

Answer

Use doxycycline alone

Answer

Avoid de-escalation once culture results return

us-abim MCQ (SBA): HAP/VAP

A 59-year-old with hospital-acquired pneumonia (late onset) and prior IV antibiotics is at high risk for MDR pathogens. Which empiric principle applies?