PNEUMONIA BY SPECIFIC ORGANISMS

Stapylococcus pneumonia

This form is especially common following a recent influenza infection. It can cause empyema and
pneumatocele.

Adults and children >5 years:

  • Cloxacillin 1-2 g IV or IM every 6 hours for 10-14 days
    Child >5 years: 50 mg/kg per dose (max: 2 g)

Child 2 months-5 years

  • Cloxacillin 25-50 mg/kg IV or IM every 6 hours
  • Plus gentamicin 7.5 mg/kg IV in 1-3 divided doses daily
    • Continue both medicines for at least 21 days

Mycoplasma pneumoniae

  • Doxycycline 100 mg every 12 hours for 7-10 days
    Child >8 years: 2 mg/kg per dose

    • Contraindicated in pregnancy
  • Or erythromycin 500 mg every 6 hours for 5 days
    Child: 10-15 mg/kg per dose

Klebsiella pneumonia

  • Gentamicin 5-7 mg/kg IV daily in divided doses
  • Or ciprofloxacin 500 mg every 12 hours
    Child: chloramphenicol 25 mg/kg every 6 hours

    • Give a 5-day course
    • Amend therapy as guided by C&S results

Pneumococcal pneumonia

  • Benzylpenicillin 50,000 IU/kg IV or IM every 6 hours for 2-3 days then switch to oral
    Amoxicillin 500 mg-1 g every 8 hours for 5 days
    Children: 40 mg/kg every 12 hours for 5 days.
    Preferably use dispersible tablets in younger children