Home > Treatment Recommendations > Neonates / Paediatric Patients > Respiratory > Pneumonia, Hospital-acquired (HAP) > Early onset (≤ 4 days hospitalization) or Late onset (> 4 days hospitalization)

Early onset (≤ 4 days hospitalization) or Late onset (> 4 days hospitalization)

non-ICU
no mechanical ventilation
no broad-spectrum antibiotics

Usual Pathogens

S. pneumoniae
S. aureus/MRSA
H. influenzae
Enterobacterales

< 3 months old

Empiric Therapy	Dose	Duration
Cefotaxime	200mg/kg/d IV div q6h	7 days

≥ 3 months old

Empiric Therapy	Dose	Duration
Ceftriaxone	100mg/kg IV q24h	7 days

If MRSA suspected add:

Empiric Therapy	Dose	Duration
Vancomycin	60mg/kg/d IV div q6h	Minimum 14 days for confirmed MRSA
or
Linezolid	< 5 years old: 30mg/kg/d IV/PO div q8h	Minimum 14 days for confirmed MRSA
	> 5 years old: 20mg/kg/d IV/PO div q12h