A 58-year-old with CAP and sepsis receives ceftriaxone+azithromycin. After 24 hours, culture grows S. pneumoniae susceptible to penicillin; no atypica...

Question

A 58-year-old with CAP and sepsis receives ceftriaxone+azithromycin. After 24 hours, culture grows S. pneumoniae susceptible to penicillin; no atypical coverage needed. Next step?

Accepted Answer

De-escalate to penicillin/appropriate narrow beta-lactam

Answer

Continue broad-spectrum regimen for full course

Answer

Add vancomycin

Answer

Stop antibiotics immediately

Answer

Switch to fluoroquinolone

us-abim MCQ (SBA): Antibiotic Stewardship-CAP

A 58-year-old with CAP and sepsis receives ceftriaxone+azithromycin. After 24 hours, culture grows S. pneumoniae susceptible to penicillin; no atypical coverage needed. Next step?