Table 5: Treatment of severe exacerbation.

Agent

Selection

Alternative

Duration

(days)

Haemophilus

influenzae

Ceftriaxone

2 g/24 h IV

Amoxicillin/clavulanate

500/125 mg 2 tab

every 8 h PO

14-21

Staphylococcus

aureus

Vancomycin

15-20 mg/kg/8 - 12 h IV

Vancomycin

15-20 mg/kg/8-12 h IV

14-21

MRS

Linezolid

600 mg/12 h IV

Vancomycin

15-20 mg/kg/8-12 h IV

Ceftriaxone

600 mg every 12 h IV

14-21

Pseudomonas

Ceftazidime

2 g every 8 h IV

+ tobramycin

5-10 mg/kg every 24 h IV

Imipenem 1 g

every 8 h

or piperacillin/tazobactam

4-8 g every 24 h

or cefepime

2 g every 8 h

or meropenem

2 g every 8 h

or ciprofloxacin

400 mg every 12 h

+ amikacin

15-20 mg/kg every 24 h

or gentamicin

5-7 mg/kg every 24 h

14-21

MRS = Methicillin-resistant Staphylococcus aureus.

PO = PER OS (orally).

IV = intravenous.