Pneumonia — Uganda (General Adult population)
Moderate Pneumonia
Amoxicillin 500 mg-1 g every 8 hours for 5 days. If atypical (penicillin allergy or poor response): Doxycycline 100 mg every 12 hours for 7-10 days OR Erythromycin 500 mg every 6 hours for 5 days (14 days for atypical).
Severe Pneumonia
Give oxygen. Benzylpenicillin 2 MU IV or IM every 4-6 hours. If not better in 48 hours: Ceftriaxone 1 g IV/IM every 24 hours. If S. Aureus suspected: Cloxacillin 500 mg IV every 6 hours.
Staphylococcus pneumonia
Cloxacillin 1-2 g IV or IM every 6 hours for 10-14 days PLUS gentamicin 7.5 mg/kg IV in 1-3 divided doses daily (continue both for at least 21 days).
Klebsiella pneumonia
Gentamicin 5-7 mg/kg IV daily in divided doses OR ciprofloxacin 500 mg every 12 hours. Give 5-day course.
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