Hospital acquired pneumonia complicating COVID-19

Mild-moderate HAP

Doxycyline 200mg PO stat then 100mg daily

or 

Co-trimoxazole 960mg PO/IV 12 hourly

Treatment duration: 5 days

Severe HAP or deterioration despite first line therapy or VAP

Piperacillin-Tazobactam (Tazocin) 4.5g IV 6 hourly

 

Penicillin allergy:

Levofloxacin 500mg PO/IV 12 hourly

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