Avoid using same class of antibiotics if used within previous 3 MONTHS
When culture susceptibilities available change to PATHOGEN-DIRECTED therapy
Broader empiric regimens used when certain CO-MORBIDITIES present
Co-morbidities:
Heart, lung, liver disease
Diabetes
Alcoholism
Malignancies
Asplenia
Immunosuppression
IV to PO Step Down
Consider IV to PO step down if afebrile x 24 to 48 hr, GI tract functioning, hemodynamically stable and clinical improvement while on IV treatment
CAP Outpatient (previously healthy)
CURB-65 Score: 0 to 1
CAP Outpatient (comorbidities present)
CAP Inpatient Moderate
CURB Score: 2
CAP Inpatient Severe/Critically ill (ICU)
CURB-65 Score: 3 to 5
Order set (including vaccine information): 10-111-5094