| 1 |
Pneumonia Komuniti (Rawat Jalan) |
Levofloxacin
|
PO : 500 mg IVFD : 750 mg
|
EMPIRIS |
24 jam |
1-2 minggu |
Pertimbangkan riwayat antibiotik & alergi |
| 2 |
Pneumonia (Rawat Inap Biasa) |
Ceftriaxone
Cefoperazone
|
IV : 1 gram
IV : 1 gram
|
EMPIRIS |
12 jam |
1-2 minggu |
Cefoperazone jika penurunan fungsi ginjal |
| 3 |
Pneumonia Komuniti |
Azithromycin |
PO : 500 mg IV : 250-500 mg |
EMPIRIS |
24 jam |
1-2 minggu |
- |
| 4 |
Pneumonia (Kuman Atipikal) |
Clarithromycin
Doxycycline
|
PO : 250 mg
PO : 200 mg -> 100 mg
|
EMPIRIS |
12 jam |
7 hari / 1-2 minggu |
- |
| 5 |
Pneumonia Komuniti |
Levofloxacin |
PO : 500 mg IV : 750 mg |
EMPIRIS |
24 jam |
7-14 hari |
- |
| 6 |
Rawat Inap Intensif |
Moxifloxacin
Ampicillin-Sulbactam + Levofloxacin
Ceftriaxone + Levofloxacin
Ceftriaxone + Azithromycin
|
PO/IVFD : 400 mg
IV 1.5g + IV 750mg
IV 1g + IV 750mg
IV 1g + IV 500mg
|
EMPIRIS |
24 jam / 6+24 jam / 12+24 jam |
7 hari / 1-2 minggu |
Kombinasi sesuai klinis |
| 7 |
Pneumonia Rawat Intensif (Risiko Pseudomonas/ESBL) |
Meropenem |
IV : 500 mg |
EMPIRIS |
8 jam |
14 hari |
Bisa kombinasi Fluoroquinolon/Aminoglikosida |
| 8 |
Pneumonia Nosokomial (Early Onset, No MDRO) |
Levofloxacin
Moxifloxacin
Ampicillin-Sulbactam + Levofloxacin
Ceftriaxone + Levofloxacin
Ceftriaxone + Azithromycin
|
IV : 750 mg
IV : 400 mg
IV 1.5g + 750mg
IV 1g + 750mg
IV 1g + 500mg
|
EMPIRIS |
24 jam / 6 jam / 12 jam |
7-14 hari |
Tanpa kriteria pneumonia berat ATS |
| 9 |
Pneumonia Nosokomial (Late Onset, Risk MDRO) |
Meropenem + Levofloxacin
Meropenem + Amikacin
Meropenem + Ciprofloxacin
Cefepime + Levofloxacin
|
IV 1g + 750mg
IV 1g + 20mg/kg
IV 1g + 400mg
IV 1-2g + 750mg
|
EMPIRIS |
8+24 jam / 8+12 jam |
7-14 hari |
Kombinasi anti-pseudomonas |
| 10 |
Pneumonia Aspirasi (Early / No MDRO) |
Ampicillin-Sulbactam
Amoxicillin-Clavulanate
Clindamycin + Levofloxacin
Ceftriaxone + Metronidazole
|
IV : 1.5 - 3 g
PO : 625 mg
IV 600mg + 750mg
IV 2g + 500mg
|
EMPIRIS |
6 jam / 8 jam / 12 jam |
7 hari |
- |
| 11 |
Pneumonia Aspirasi (Late / Risk MDRO) |
Meropenem
Piperacillin-Tazobactam
|
IV : 1 g
IV : 4.5 g
|
EMPIRIS |
8 jam |
7-14 hari |
- |
| 12 |
Abses Paru |
Clindamycin + Ceftriaxone
Ampicillin-Sulbactam
Meropenem
|
IV 600mg + 2g
IV 1.5-3 g
IV 1 g
|
EMPIRIS |
8 jam / 6 jam / 8 jam |
2-4 minggu (IV) -> Oral |
Lama terapi total bisa 4-8 minggu |
| 13 |
Empiema (Community Acquired) |
Amoxicillin-Clavulanate
Ceftriaxone + Metronidazole
|
IV : 1.2 g
IV 2g + 500mg
|
EMPIRIS |
8 jam / 24+8 jam |
2-4 minggu |
Evaluasi drainase |
| 14 |
Empiema (Hospital Acquired) |
Meropenem
Piperacillin-Tazobactam
Vancomycin (bila MRSA)
|
IV : 1 g
IV : 4.5 g
IV : 15 mg/kg
|
EMPIRIS |
8 jam |
2-4 minggu |
- |
| 15 |
PPOK Eksaserbasi Akut |
Azithromycin
Levofloxacin
Amoxicillin-Clavulanate
Cefixime
|
PO : 500 mg
PO : 500-750 mg
PO : 625 mg
PO : 200 mg
|
EMPIRIS |
24 jam / 8 jam / 12 jam |
5-7 hari |
Tanpa faktor risiko Pseudomonas |
| 16 |
PPOK Eksaserbasi (Risk Pseudomonas) |
Levofloxacin
Ciprofloxacin
Ceftazidime
|
IV : 750 mg
IV : 400 mg
IV : 1-2 g
|
EMPIRIS |
24 jam / 12 jam / 8 jam |
7-10 hari |
- |
| 17 |
Bronkiektasis Terinfeksi |
Levofloxacin
Moxifloxacin
Amoxicillin-Clavulanate
|
PO/IV : 500-750 mg
PO : 400 mg
PO : 625 mg
|
EMPIRIS |
24 jam / 8 jam |
10-14 hari |
- |
| 18 |
Bronkiektasis (Kolonisasi Pseudomonas) |
Ceftazidime
Cefepime
Meropenem
Piperacillin-Tazobactam
|
IV : 2 g
IV : 2 g
IV : 1 g
IV : 4.5 g
|
EMPIRIS |
8 jam |
14 hari |
Sering dikombinasi dengan Inhalasi Tobramycin/Colistin |
| 19 |
Asma Eksaserbasi (Bila ada infeksi bakteri) |
Azithromycin
Doxycycline
Levofloxacin
|
PO : 500 mg
PO : 100 mg
PO : 500 mg
|
EMPIRIS |
24 jam / 12 jam |
5-7 hari |
Tidak rutin, hanya jika dahak purulen |
| 20 |
Tuberkulosis (TB) Sensitif Obat |
Rifampicin (R)
Isoniazid (H)
Pyrazinamide (Z)
Ethambutol (E)
|
PO : 10 mg/kg (Max 600)
PO : 5 mg/kg (Max 300)
PO : 25 mg/kg
PO : 15 mg/kg
|
EMPIRIS |
24 jam |
6 bulan (2HRZE / 4HR) |
Fase intensif 2 bulan, Lanjutan 4 bulan |
| 21 |
TB Resisten Obat (MDR/RR) |
Bedaquiline
Linezolid
Clofazimine
Cycloserine
Levofloxacin / Moxifloxacin
|
PO : 400 mg -> 200 mg
PO : 600 mg
PO : 100 mg
PO : 500-750 mg
PO : 750 / 400 mg
|
EMPIRIS |
24 jam |
9-20 bulan |
Sesuai panduan STR/Long Regimen |
| 22 |
H5N1 (Flu Burung) |
Oseltamivir |
PO : 75 mg |
PROFILAKSIS |
24 jam (Profilaksis) / 12 jam (Terapi) |
7-10 hari |
Kontak erat / Kasus konfirmasi |
| 23 |
H1N1 (Flu Babi) |
Oseltamivir |
PO : 75 mg |
EMPIRIS |
12 jam |
5 hari |
Mulai < 48 jam onset |
| 24 |
MERS-CoV |
Oseltamivir |
PO : 75 mg |
EMPIRIS |
12 jam |
- |
Terapi suportif utama |