Mycoplasma pneumonia medical therapy: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Mycoplasma pneumonia}} | {{Mycoplasma pneumonia}} | ||
{{CMG}} | {{CMG}} | ||
==Overview== | ==Overview== | ||
Antimicrobial therapy is the mainstay of therapy for atypical pneumonia caused by ''Mycoplasma''. Pharmacologic therapies for ''Mycoplasma'' pneumonia include either a [[macrolide]] (e.g. [[azithromycin]]) for 2-5 days, [[doxycycline]] for 14 days, or a [[fluoroquinolone]] for 14 days. Supportive therapy includes rest, adequate fluid intake, and administration of either non-steroidal anti-inflammatory drugs ([[NSAIDS]]) or [[acetaminophen]] if needed. [[Aspirin]] should be avoided among children. | |||
==Medical Therapy== | ==Medical Therapy== | ||
===Supportive Care=== | |||
*Supportive therapy includes rest, adequate fluid intake, and administration of either nonsteroidal anti-inflammatory drugs ([[NSAIDS]]) or [[acetaminophen]] if needed. | |||
*[[Aspirin]] should be avoided among children. | |||
* | ===Antimicrobial Regimen=== | ||
* | All patients diagnosed with ''Mycoplasma'' pneumonia are treated with antimicrobial therapy. | ||
* | :* 1. '''Atypical pneumonia'''<ref>{{cite book | last = Bennett | first = John | title = Mandell, Douglas, and Bennett's principles and practice of infectious diseases | publisher = Elsevier/Saunders | location = Philadelphia, PA | year = 2015 | isbn = 978-1455748013 }}</ref><ref>{{cite book | last = Bartlett | first = John | title = Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases | publisher = Jones and Bartlett Learning | location = Burlington, MA | year = 2012 | isbn = 978-1449625580 }}</ref> | ||
::* Preferred regimen (1): [[Azithromycin]] 500 mg PO qd on day 1 and 250 mg PO qd on days 2 to 5 | |||
::* Preferred regimen (2): [[Clarithromycin]] 500 mg PO qd for 14 days | |||
::* Preferred regimen (3): [[Moxifloxacin]] 400 mg PO qd for 14 days | |||
::* Preferred regimen (4): [[Levofloxacin]] 750 mg PO qd for 14 days | |||
::* Alternative regimen : [[Doxycycline]] 100 mg PO bid for 14 days | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Infectious Disease Project]] | |||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Pulmonology]] | [[Category:Pulmonology]] | ||
Latest revision as of 01:22, 8 February 2016
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Antimicrobial therapy is the mainstay of therapy for atypical pneumonia caused by Mycoplasma. Pharmacologic therapies for Mycoplasma pneumonia include either a macrolide (e.g. azithromycin) for 2-5 days, doxycycline for 14 days, or a fluoroquinolone for 14 days. Supportive therapy includes rest, adequate fluid intake, and administration of either non-steroidal anti-inflammatory drugs (NSAIDS) or acetaminophen if needed. Aspirin should be avoided among children.
Medical Therapy
Supportive Care
- Supportive therapy includes rest, adequate fluid intake, and administration of either nonsteroidal anti-inflammatory drugs (NSAIDS) or acetaminophen if needed.
- Aspirin should be avoided among children.
Antimicrobial Regimen
All patients diagnosed with Mycoplasma pneumonia are treated with antimicrobial therapy.
-
- Preferred regimen (1): Azithromycin 500 mg PO qd on day 1 and 250 mg PO qd on days 2 to 5
- Preferred regimen (2): Clarithromycin 500 mg PO qd for 14 days
- Preferred regimen (3): Moxifloxacin 400 mg PO qd for 14 days
- Preferred regimen (4): Levofloxacin 750 mg PO qd for 14 days
- Alternative regimen : Doxycycline 100 mg PO bid for 14 days
References
- ↑ Bennett, John (2015). Mandell, Douglas, and Bennett's principles and practice of infectious diseases. Philadelphia, PA: Elsevier/Saunders. ISBN 978-1455748013.
- ↑ Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.