A 67-year-old with suspected CAP asks about macrolide monotherapy. Local macrolide resistance to S. pneumoniae is 30%. What do guidelines suggest for ...

Question

A 67-year-old with suspected CAP asks about macrolide monotherapy. Local macrolide resistance to S. pneumoniae is 30%. What do guidelines suggest for a healthy outpatient?

Accepted Answer

Avoid macrolide monotherapy; use amoxicillin 1 g TID or doxycycline

Answer

Macrolide monotherapy is recommended regardless of resistance

Answer

Use cephalexin monotherapy

Answer

Use amoxicillin/clavulanate plus macrolide

Answer

Use levofloxacin in all outpatients

us-abfm MCQ (SBA): CAP-Outpatient Regimen Selection

A 67-year-old with suspected CAP asks about macrolide monotherapy. Local macrolide resistance to S. pneumoniae is 30%. What do guidelines suggest for a healthy outpatient?