Severe (e.g. CURB65 ≥3) Community acquired pneumonia complicating COVID-19

Antimicrobial prescribing: NHS Forth Valley
NHS Forth Valley

First Line

Therapy

Co-amoxiclav 1.2g IV 8 hourly

Notes:

If felt atypical cover is required (e.g. poor response on co-amoxiclav alone, social/animal exposure) ADD either:

Doxycycline 200mg PO stat then 100mg daily

or

Clarithromycin 500mg IV 12 hourly (if oral route not suitable)

Penicillin Allergy

Therapy

Levofloxacin 500mg PO/IV 12 hourly 

Notes:

Notes

Treatment duration: 5 days (may require longer guided by clinical response)