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Any evidence available to use combination btw ceftriaxone and levofloxacin in treatment pneumonia (or complicated pneumonia
Also what about macrolide combination with levofloxacin
The answer of Dr.Hossam is the best
In addition you need to follow the case scenario
Has she been ventilated?
Cap or vap pneumonia?
Chest xray does it suggest viral infection?
Sputum colour , comorbidity copd asthma ?
According to each scenario it may leads you to causative organism
For cap it is sufficient to use only levofloxacin as it will covers typical and atypical bacteria which they are the causative organism , adding ceftriaxone may not lead for additional documented benefit for cap pneumonia
Combination of macrolides and levofloxacin will only lead to qt prolongation with no broader coverage or synergism