High risk of multidrug resistance and/or >15% risk of mortality in ICU | No septic shock | Monotherapy against Gram-negative (if active against >90% of the probable ICU pathogens) ± MRSA treatment |
Septic shock | Dual treatment with Pseudomonas Gram-negative coverage ± MRSA treatment |
ICU: intensive care unit; MRSA: methicillin-resistant Staphylococcus aureus.