Antimicrobial prescribing: NHS Forth Valley
Important: Therapy
Piperacillin-Tazobactam (Tazocin) 4.5g IV 6 hourly
ADD Clarithromycin 500mg PO 12 hourly if community acquired pneumonia
Pneumonia In Immunocompromised
Important: Therapy
Levofloxacin 500mg PO 12 hourly (consider safety issues)
(No additional clarithromycin required if community acquired as excellent atypical cover)
If already on ciprofloxacin prophylaxis:
Vancomycin IV AND Gentamicin IV as per protocol
Add Clarithromycin 500mg PO 12 hourly if community acquired pneumonia
Notes:
Important: Notes
e.g on immunosupressant drugs, neutropenia
Ensure sputum and atypical pneumonia screens sent ASAP
If there is treatment failure/relapse check microbiology results, seek senior clinical review +/- consider discussion with Consultant microbiologist