經驗性治療應依感染部位與宿主風險涵蓋高風險病原,等培養結果回來再收窄。皮膚膿瘍、導管感染、post-influenza pneumonia 要想 MRSA;HAP/VAP、neutropenia、燒傷、CF 或結構性肺病要想 Pseudomonas;腹腔感染、aspiration abscess、咬傷、壞死組織要想 anaerobes。
| Coverage | 常見情境 | 常見藥物概念 |
| MRSA | Abscess、導管、人工物、院內風險、post-influenza pneumonia | Vancomycin、linezolid、daptomycin(肺炎不用 daptomycin)、ceftaroline |
| Pseudomonas | HAP/VAP、neutropenia、CF、burn、structural lung disease | Piperacillin-tazobactam、cefepime、ceftazidime、meropenem、ciprofloxacin |
| Anaerobes | Aspiration with abscess、腹腔、咬傷、diabetic foot、壞死 | Metronidazole(橫膈下)、clindamycin(橫膈上)、beta-lactam/BL-I、cephamycin、carbapenem |
| Atypical | CAP 乾咳、低鈉、冷凝集、群聚 | Azithromycin、doxycycline、respiratory fluoroquinolone |
| Enterococcus | 腸胃/泌尿來源、endocarditis、術後腹腔 | Ampicillin、vancomycin;VRE 依部位與藥敏(linezolid/daptomycin) |