A 35-year-old outpatient with community-acquired pneumonia (fever, cough, RR 18, no comorbidities, no recent antibiotics) asks for an antibiotic. Loca...

Question

A 35-year-old outpatient with community-acquired pneumonia (fever, cough, RR 18, no comorbidities, no recent antibiotics) asks for an antibiotic. Local macrolide resistance is >25%. Best empiric regimen?

Accepted Answer

Doxycycline 100 mg orally twice daily for 5-7 days

Answer

Azithromycin 500 mg on day 1 then 250 mg daily for 4 days

Answer

Levofloxacin 750 mg orally daily for 5 days

Answer

Amoxicillin/clavulanate 875/125 mg twice daily plus azithromycin

Answer

Cefdinir 300 mg twice daily

us-abfm MCQ (SBA): Community-Acquired Pneumonia

A 35-year-old outpatient with community-acquired pneumonia (fever, cough, RR 18, no comorbidities, no recent antibiotics) asks for an antibiotic. Local macrolide resistance is >25%. Best empiric regimen?