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Pneumonia - Hospital Acquired

Hospital-acquired PNEUMONIA (HAP) (nosocomial) Common pathogens
Multi-drug resistance unlikely 
Ceftriaxone 1-2 grams IV q24h  OR
Ampicillin-sulbactam (Unasyn) 3.0 grams ivpb q6h  OR
Levofloxacin 750 mg IV/PO once daily
Multi-drug resistance LIKELY 
Piperacillin-tazobactam 3.375g ivpb q6h OR
Cefepime 2 grams IV every 12 hours OR
Meropenem 1 gm IV q8h

PLUS (If MRSA suspected)
Vancomycin - (patient-specific regimen - trough goal 15-20 mcg/ml)


Pneumonia (Hospital-acquired) HAP