Community Acquired Pneumonia (CAP)

Important: Therapy

Amoxicillin oral 1g 8 hourly

Or

Doxycycline oral 200mg stat on first day then 100mg daily

Duration 5 days then review

Notes:

Important: Therapy

Amoxicillin oral 1g 8 hourly

Use IV if oral route unavailable.

Switch to oral antibiotics as soon as clinically appropriate

If penicillin allergy,

Doxycycline oral 200mg stat on first day then 100mg daily

Or

Clarithromycin oral 500mg 12 hourly (IV if oral route unavailable)

If Legionella, Mycoplasma or other atypical bacterial pathogens suspected, add clarithromycin oral 500mg 12 hourly (IV if no oral route)

Send urine sample for Legionella antigen and throat swab for mycoplasma.

Duration 5 days then review

Notes:

Important: Therapy

Co-amoxiclav IV 1.2g 8 hourly

+

Clarithromycin oral or IV 500mg 12 hourly

If penicillin allergy

Levofloxacin oral or IV 500mg 12 hourly

Total duration 5 days then review.

Notes:

May need to be extended to 14-21 days according to clinical judgement e.g. if suspected/confirmed “atypical” pathogen, Legionella, Staphylococcal or Gram negative bacilli.