Severe sepsis and septic shock of unknown source
Severe sepsis and septic shock of unknown source
Clinical condition | Common pathogens | Empirical antimicrobial agents | Comments |
---|---|---|---|
Community acquired | Enterobacteriaceae, P. aeruginosa, S. aureus |
Imipenem-cilastatin or meropenem | Add vancomycin if S. aureus is a concern. Add colistin or polymyxin B if risk factors |
Hospital acquired | Enterobacteriaceae, P. aeruginosa, Acinetobacter spp, S. aureus |
Imipenem or meropenem plus polymyxin B or colistin plus vancomycin |