Bradley et al outlined options for managing a young pediatric patient with community-acquired pneumonia (CAP). The duration of antibiotic therapy varies considerably and should be individualized for the patient. The authors are from the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America.


Patient selection: young pediatric patient with CAP


Duration of antibiotic therapy range from 3 to 4 days to 4 to 6 weeks, with 7 to 10 days often used for a routine infection.


Reasons to consider a longer course of antibiotic:

(1) problematic pathogen (MRSA, other)

(2) lung abscess

(3) empyema

(4) bacteremia, especially with secondary site

(5) severe and complicated illness

(6) impaired host defenses


Reasons to consider a shorter course of antibiotics:

(1) mild disease treated as outpatient

(2) susceptible organism

(3) clinically improved

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