Important: Therapy
Doxycyline 100mg PO 12 hourly
Notes:
If oral route compromised:
Ceftriaxone 2g IV 24 hourly
test announcement
Doxycyline 100mg PO 12 hourly
If oral route compromised:
Ceftriaxone 2g IV 24 hourly
Co-trimoxazole 960mg PO 12 hourly
If oral route compromised:
Ceftriaxone 2g IV 24 hourly
Ceftriaxone 2g IV 24 hourly
or if penicillin allergy:
Levofloxacin 500mg PO/IV 12 hourly (consider safety issues)
Essential to confirm CrCl in this patient group: if CrCl <50ml/min maximum dose of levofloxacin 250mg PO/IV 12 hourly
NB -BTS Definition of Pneumonia
Cough and at least one other lower respiratory tract symptom AND new focal chest signs on examination AND EITHER sweating, fevers, shivers, aches and pains OR fever > 38°C AND no other explanation for symptoms
Check HEPMA to review recent antibiotic courses that may influence antibiotic choice