Antimicrobial prescribing: NHS Grampian, Orkney & Shetland
Important: Therapy
- Urgent referral to chest physician advised.
- Send sputum samples for culture.
- Aspiration or bronchoscopy may be indicated.
Micro Organisms
Klebsiella pneumoniae, Staphylococcus aureus, Mixed infections including anaerobes
Duration
Seek specialist advice
Important: Therapy
IV Co-amoxiclav 1.2g 8 hourly
Notes:
Important: Therapy
IV Co-trimoxazole* 960mg 12 hourly
+ IV Metronidazole 500mg 8 hourly
Notes:
*If IV Co-trimoxazole not available use:
IV Clindamycin 600mg 8 hourly +/- IV Ciprofloxacin 400mg 12 hourly
Ciprofloxacin: check important safety information in BNF & give MHRA patient information leaflet to patient