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comm-acq pneumonie - Mycoplasma

Advices

≥ 18 years

Indications: Orale therapie

Priority Medication Remarks
Priority:
1st choice
Medication:

azitromycine po 500mg 1dd 5 days

Remarks:
  • Bij matig-ernstig zieke patient 7 dagen
Priority:
1st choice
Medication:

doxycycline po 200mg 1dd

followed by

doxycycline po 100mg 1dd

Remarks:
  • Totale behandelduur 7-14d
≥ 18 years

Indications: Intraveneuze therapie

Priority Medication Remarks
Medication:

doxycycline iv 200mg 1dd 1 day

followed by

doxycycline iv 100mg 1dd

Remarks:
  • Totale behandelduur 7-14d
  • Bij vlot klinisch herstel na 48uur switch naar po in dezelfde dosering
≥ 18 years

Indications: Opgenomen op Intensive Care

Priority Medication Remarks
Medication:

levofloxacine iv loading dose 1000mg, 500mg 2dd 7 to 14 days

Remarks:
  • Totale behandelduur 7-14d
  • Bij vlot klinisch herstel na 48uur switch naar po in dezelfde dosering

Sources

  1. Link naar UMCG: CAP protocol
  2. Pubmed.gov publication # 27446015

    Pereyre S, Goret J and Bébéar C (2016) Mycoplasma pneumoniae: Current Knowledge on Macrolide Resistance and Treatment. Front. Microbiol. 7:974. doi: 10.3389/fmicb.2016.00974

  3. CAP/2016 SWAB
  4. Pubmed.gov publication # 31573350

    Metlay JP, Waterer GW, Long AC, Anzueto A, Brozek J, Crothers K, Cooley LA, Dean NC, Fine MJ, Flanders SA, Griffin MR, Metersky ML, Musher DM, Restrepo MI, Whitney CG. Diagnosis and Treatment of Adults with Community-acquired Pneumonia. An Official Clinical Practice Guideline of the American Thoracic Society and Infectious Diseases Society of America. Am J Respir Crit Care Med. 2019 Oct 1;200(7):e45-e67. doi: 10.1164/rccm.201908-1581ST. PMID: 31573350; PMCID: PMC6812437.

Antimicrobial resources

The following antimicrobial agents have been used in these recommendations:

External antimicrobial resources
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Metadata

Swab vid: G-218331.7
Updated: 11/30/2023 - 12:37
Status: Published