Do you recommend doxycycline over azithromycin as first-line treatment for outpatient community-acquired pneumonia in otherwise healthy adults, given rising macrolide resistance rates?

Do you recommend doxycycline over azithromycin as first-line treatment for outpatient community-acquired pneumonia in otherwise healthy adults?

• Yes, I prefer doxycycline regardless of local resistance data
• Yes, but only when local antibiogram data shows significant macrolide resistance
• No, I still prefer azithromycin as first-line unless contraindicated
• Other