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