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te pneumonia
Pneumonia without signs of serious illness (outpatient treatm ent)
amoxicillin P O
C h ild ren: 1 0 0 m g / kg / d ay in 3 d iv id ed d oses for 5 d ays
A d ults: 3 g / d ay in 3 d iv id ed d oses for 5 d ays
F ollow -up in 4 8 to 7 2 h ours or sooner if th e patient‟s cond ition d eteriorates:
– if th e patient is im prov in1g0 : continue w ith th e sam e antibiotic to com plete treatm ent;
– if th e cond ition is d eteriorating : h ospitalise and treat as sev ere pneum onia;
– If th ere is no im prov em ent after 3 d ays of correct ad m inistration: ad d azith rom ycin
(see Atypical pneumonia below ).
Persistent pneumonia
I n patients not respond ing to th erapy, consid er atypical pneum onia, tuberculosis,
pneum ocystosis (see pag e 2 1 5 ).
B acteria responsible for atypical pneum onia are m ainly Mycoplasma pneumoniae and
Chlamydophila pneumoniae. If suspected , one of th e follow ing antibiotics m ay be used :
F irst ch oice, azithromycin P O D 2 to
C h ild ren: 1 0 m g / kg on D 1 (m ax. 5 0 0 m g ) th en, 5 m g / kg once d aily from
D5
A d ults: 5 0 0 m g on D 1 th en, 2 5 0 m g once d aily from D 2 to D 5
eIfryntohtroamvyaciilnabPleO,
C h ild ren: 3 0 to 4 0 m g / kg / d ay in 4 d iv id ed d oses for 1 0 to 1 4 d ays
A d ults: 2 g / d ay in 4 d iv id ed d oses for 1 0 to 1 4 d ays
door xycycline P O (except in ch ild ren und er 8 years and preg nant or lactating w om en)
C h ild ren: 4 m g / kg / d ay (m ax. 2 0 0 m g / d ay) in 2 d iv id ed d oses for 1 0 to 1 4 d ays
A d ults: 2 0 0 m g / d ay in 2 d iv id ed d oses for 1 0 to 1 4 d ays
Improvement criteria include: fever reduction, diminished respiratory distress, improved O2 saturation, improved
1 0appetite and/or activity.
72
Pneumonia without signs of serious illness (outpatient treatm ent)
amoxicillin P O
C h ild ren: 1 0 0 m g / kg / d ay in 3 d iv id ed d oses for 5 d ays
A d ults: 3 g / d ay in 3 d iv id ed d oses for 5 d ays
F ollow -up in 4 8 to 7 2 h ours or sooner if th e patient‟s cond ition d eteriorates:
– if th e patient is im prov in1g0 : continue w ith th e sam e antibiotic to com plete treatm ent;
– if th e cond ition is d eteriorating : h ospitalise and treat as sev ere pneum onia;
– If th ere is no im prov em ent after 3 d ays of correct ad m inistration: ad d azith rom ycin
(see Atypical pneumonia below ).
Persistent pneumonia
I n patients not respond ing to th erapy, consid er atypical pneum onia, tuberculosis,
pneum ocystosis (see pag e 2 1 5 ).
B acteria responsible for atypical pneum onia are m ainly Mycoplasma pneumoniae and
Chlamydophila pneumoniae. If suspected , one of th e follow ing antibiotics m ay be used :
F irst ch oice, azithromycin P O D 2 to
C h ild ren: 1 0 m g / kg on D 1 (m ax. 5 0 0 m g ) th en, 5 m g / kg once d aily from
D5
A d ults: 5 0 0 m g on D 1 th en, 2 5 0 m g once d aily from D 2 to D 5
eIfryntohtroamvyaciilnabPleO,
C h ild ren: 3 0 to 4 0 m g / kg / d ay in 4 d iv id ed d oses for 1 0 to 1 4 d ays
A d ults: 2 g / d ay in 4 d iv id ed d oses for 1 0 to 1 4 d ays
door xycycline P O (except in ch ild ren und er 8 years and preg nant or lactating w om en)
C h ild ren: 4 m g / kg / d ay (m ax. 2 0 0 m g / d ay) in 2 d iv id ed d oses for 1 0 to 1 4 d ays
A d ults: 2 0 0 m g / d ay in 2 d iv id ed d oses for 1 0 to 1 4 d ays
Improvement criteria include: fever reduction, diminished respiratory distress, improved O2 saturation, improved
1 0appetite and/or activity.
72
