Severe Pneumonia or SARI (continued)

Adults: IV ceftriaxone 2 g once daily 5 days

• For patients who are critical, hospitalized, immunocompromised or have previous structural lung disorder: Ceftazidime/Cefepime 2g iv Tid+or +/-Vancomycin 1 gm IV BID or + Azithromycin 500 mg po/d for 3 days 
• Meropenem 1g IV q8hours +/- vancomycin 1g IV q12 hours in critical patients if there is no response with the above alternative or culture and sensitivity result is suggestive.
• IV metronidazole 500 mg three times/day can be added when aspiration pneumonia is suspected (usually 7 days). 
• When patients improve and are able to take PO, Amoxicillin-Clavulanate (Augmentin) 2 gm PO BID for 7-10 day

Children: IV ceftriaxone 50-100mg/kg daily in divided doses (usually for 7 days)