Spectrum: Local Antimicrobial Stewardship, for Fraser Health

<4 ug/mL

Preferred Agent

Penicillin G 2 million units IV q4h

OR

Amoxicillin 500-1000 mg PO TID

Alternative/Severe allergy

Azithromycin 250-500 mg PO/IV daily*

*Azithromycin duration is 500 mg for 3 days, or 500 mg once followed by 250 mg for 4 days. Longer durations only indicated in Legionella infection

OR

Doxycycline 100 mg PO BID

OR

Moxifloxacin 400 mg PO/IV daily