Patient factorsAntibiotic regimen*
No risk factors for methicillin-resistant Staphylococcus aureus or Pseudomonas aeruginosa
and
No comorbidities listed below
Amoxicillin, 1,000 mg every 8 hours
or
Doxycycline, 100 mg every 12 hours
or
Macrolide if local pneumococcal resistance < 25%:
 Azithromycin (Zithromax), 500 mg on day 1, then 250 mg per day
or
 Clarithromycin (Biaxin), 500 mg every 12 hours
or
 Extended-release clarithromycin (Biaxin XL), 1,000 mg per day
Comorbidities: alcoholism; asplenia; diabetes mellitus; malignancy; or chronic heart, lung, liver, or kidney diseaseCombination of:
Amoxicillin/clavulanate (Augmentin), 500 mg/125 mg every 8 hours, 875 mg/125 mg every 12 hours, or 2,000 mg/125 mg every 12 hours
or
Cefpodoxime, 200 mg every 12 hours
or
Cefuroxime axetil, 500 mg every 12 hours

PLUS
Azithromycin, 500 mg on day 1, then 250 mg per day
or
Clarithromycin, 500 mg every 12 hours
or
Doxycycline, 100 mg every 12 hours
or
Extended-release clarithromycin, 1,000 mg per day

OR
Monotherapy with a respiratory fluoroquinolone:
Gemifloxacin (Factive), 320 mg per day
or
Levofloxacin (Levaquin), 750 mg per day
or
Moxifloxacin (Avelox), 400 mg per day