Spectrum: Local Antimicrobial Stewardship, for Fraser Health

CAP, High Severity

Pseudomonas unlikely

Potential Pseudomonas

  • COPD with FEV₁<50%

  • Structural lung disease

  • Recent broad-spectrum antibiotics

  • From nursing home or recent hospitalization

Potential MRSA

If potential MRSA ADD Vancomycin IV to above regimen.

MRSA Risk Factors

  • Necrotizing pneumonia

  • Recent influenza

  • Injection drug use

  • Known MRSA colonization

Vancomycin IV