15 October 2022 by Shahriar Lahouti.


The following antibiogram is provided only as a rough concept. Whenever possible, local antimicrobial susceptibility patterns (antibiogram) should be considered for use.


👉First-line agents for common gram-positive pathogens

👉Antibiotics for gram-negatives coverage

  • E. coli, Klebsiella pneumoniae:
    • No risk factors for ESBL species:  Ceftriaxone or cefepime.
    • Risk factors for ESBL species:  Carbapenem.
  • Proteus species:  Piperacillin-tazobactam or cefepime.
  • Enterobacter or Citrobacter:  Cefepime or carbapenem.
  • Pseudomonas:  Piperacillin/tazobactam, ceftazidime , cefepime, or Meropenem.
    • If double-coverage for pseudomonas is considered, the following antibiotics may be added (to the antipseudomonal beta-lactam backbone antibiotics): 

👉Anti-anaerobic coverage

Shahriar Lahouti

Founder, Chief Editor
I am Shahriar Lahouti and RECAP EM is my primary FOAMed project. The philosophy of RECAP EM is to promote critical thinking and enlightening the mindsets with most rational, current evidence towards a safer practice.

Add comment

Follow us everywhere

Most popular

Most discussed