Recommendations for Appropriate use of Antimicrobials at Hospitals in Pakistan
Ejaz A. Khan, Shaukat A. Bangash.
In ambulatory patients, an oral macrolide (erythromycin, azithromycin, clarithromycin) or doxycycline is recommended for healthy adults. In hospitalized patients high dose penicillin, cefotaxime or ceftriaxone is a reasonable first choice with macrolide/fluorinated quinolone/doxycycline. Vancomycin may be required for possible high resistant pneumococcal strains and should be added to the cephalosporins in severely ill patients or those not responding to a beta-lactam.
Key words: Pneumonia, UTI, meningitis