TREATING SEPSIS

A 69 year old female, with no past medical history, is admitted from home with pleuritic chest pain, shortness of breath, pyrexia and tachycardia. Presumed diagnosis – community acquired pneumonia in an immunocompetent host.

The most likely organisms are pneumococci, Mycoplasma and Legionella. The patient requires coverage for both gram positive and atypical organisms.

Cephalosporin iv + macrolide po or fluroquinolone

Cefuroxime/Ceftriaxone iv + azithromycin po or levofloxacin

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