CategoryInitial therapy (IV)§Duration
AdultsCiprofloxacin, 400 mg every 12 hours*
or
Doxycycline, 100 mg every 12 hours¶
and
One or two additional antimicrobials§
IV treatment initially∥; switch to oral antimicrobial therapy when clinically appropriate:
Ciprofloxacin, 500 mg orally twice daily
or
Doxycycline, 100 mg orally twice daily
Continue for 60 days (IV and oral combined).#
ChildrenCiprofloxacin, 10 to 15 mg per kg every 12 hours**††
or
Doxycycline‡‡¶: >8 years and >45 kg: 100 mg every 12 hours; >8 years and ≤45 kg: 2.2 mg per kg every 12 hours; ≤8 years: 2.2 mg per kg every 12 hours;
and
One or two additional antimicrobials§
IV treatment initially∥; switch to oral antimicrobial therapy when clinically appropriate:
Ciprofloxacin, 10 to 15 mg per kg orally every 12 hours††or
Doxycycline‡‡: >8 years and >45 kg: 100 mg orally twice daily; >8 years and ≤45 kg: 2.2 mg per kg orally twice daily; ≤8 years: 2.2 mg per kg orally twice daily
Continue for 60 days (IV and oral combined).#
Pregnant women§§Same for nonpregnant adults (the high death rate from infection outweighs the risk posed by the antimicrobial agent)IV treatment initially; switch to oral antimicrobial therapy when clinically appropriate†: oral therapy regimens are same for nonpregnant adults.
Immunocompromised personsSame for nonimmunocompromised persons and childrenSame for nonimmunocompromised persons and children