A 75-year-old man develops pneumonia 6 days after intubation in the intensive care unit. Cultures are pending. He is febrile, hypotensive and requires...

Question

A 75-year-old man develops pneumonia 6 days after intubation in the intensive care unit. Cultures are pending. He is febrile, hypotensive and requires vasopressors. What is the most appropriate empiric approach?

Accepted Answer

Broad-spectrum intravenous antibiotics covering Pseudomonas and MRSA, tailored once cultures return

Answer

Oral amoxicillin-clavulanate as in community-acquired pneumonia

Answer

No antibiotics until sputum cultures are available

Answer

Macrolide monotherapy

Answer

Metronidazole monotherapy

ca-mccqe1 MCQ (SBA): Ventilator-associated pneumonia

A 75-year-old man develops pneumonia 6 days after intubation in the intensive care unit. Cultures are pending. He is febrile, hypotensive and requires vasopressors. What is the most appropriate empiric approach?