Hospital Acquired Pneumonia

Duration

5 days and review

First Line

Co-Amoxiclav oral 625mg 8 hourly

If severe

Co-amoxiclav IV 1.2g 8 hourly

+

Gentamicin  IV (Extended Interval Dosing as per guideline. Use Gentamicin calculator). Max 3 days then review.

Penicillin Allergy

Vancomycin IV (dosing as per guideline. Use vancomycin calculator)

+

Ciprofloxacin oral 500mg 12 hourly

Notes

Obtain advice at an early stage.

Contact a Consultant Microbiologist if Pseudomonas or MRSA present or if previously treated with antimicrobials.