Antimicrobial therapy for Pediatric CAP

  Outpatient Inpatient
Newborns < 1 month Cefotaxime and gentamicin, add macrolides if Chlamydia suspected (afebrile, staccato cough)
Age less than 5 years Amoxicillin
Co-amoxiclav
Cefuroxime
Ceftriaxone
Cefotaxime
Co-amoxiclav
Age more than 5 years Amoxicillin
Macrolide only if clinical features suggestive of mycoplasma
Ceftriaxone
Ampicillin
Co-amoxiclav
with/ without macrolide
Suspected MRSA: add vancomycin/ teicoplanin /(linezolid only if TB ruled out)
Suspected influenza: Add oseltamivir