Table. 14—

Recommended treatment options(in no special order) for hospitalised patients with community-acquired pneumonia (C4)#

PreferredAlternative+
Penicillin G±macrolideƒLevofloxacin§
Aminopenicillin±macrolide§,ƒMoxifloxacin§,##
Aminopenicillin/β-lactamase inhibitor±macrolide§,ƒ
Nonantipseudomonal cephalosporin IIƒ or III±macrolideƒ
  • #: experience with ketolides is limited, but they may offer an alternative when oral treatment is adequate; : in regions with low resistance rates; +: in regions with increased resistance rates or intolerance to preferred drugs; §: can be applied as sequential treatment using the same drug; ƒ: new macrolides preferred to erythromycin; ##: within the fluoroquinolones, moxifloxacin has the highest anti-pneumococcal activity.