<prompt> In community acquired pneumonia out patient treatment Is: PGI June 2007AzithromycinCepfotaximeAmpicillinGentamicin  <response>: Ans,: A Azithromycin As Q is mentioned only simple community acquired pneumonia Not MRS A or Pseudomonas; so aminoglycosides vancomycin are not given in answer, so give outpatient treatment given in Harrson tableTable Harrison 17th1623: Empirical Antibiotic Treatment of Community-Acquired PneumoniaOutpatientsPreviously healthy and no antibiotics in past 3 monthsA macrolide orDoxycycline 100 mg PO bidComorbidities or antibiotics in past 3 months: select an alternative from a different classA respiratory fluoroquinolone orAb lactam plus a macrolideQIn regions with a high rate of high-level pneumococcal macrolide resistance consider alternatives listed above for patients with comorbidities.Inpatients, non-ICUA respiratory fluoroquinolone , gemifloxacin 320 mg PO od, levofloxacin 750 mg PO or IV odA biactam plus a macrolidet Inpatients, ICUA biactam cefotaxime 1-2 g IV q8h, ceftriaxone 2 g IV od, ampicillin-sulbactam 2 g IV q8h plusAzithromycin or a fluoroquinolone as listed above for inpatients. non-ICUSpecial concernsIf Pseudomonas is a considerationAn antipneumococcal, antipseudomonal p lactam plus either ciprofloxacin 400 mg IV ql2h or levofloxarin 750 mg IV odThe above piactams plus an aminoglycoside The above piactamsf plus an aminoglycoside plus an antipneumococcai fluoroquinoloneIf Community acquired -SIRSA is a considerationAdd Einezolid 600 mg IV ql2h or vancomycin 1 g IV ql2h 