Exacerbation of Bronchiectasis
Co-amoxiclav 1.2g IV 8 hourly +/- Clarithromycin (if atypical pneumonia is suspected or confirmed) 500 mg PO 12 hourly
If known to have Pseudomonas colonisation:
Ciprofloxacin 750mg PO 12 hourly consider safety issues) +/- Gentamicin IV as per protocol
or as guided by previous sensitivities
Ensure sputum sample sent ASAP prior to antibiotics
If there is treatment failure/relapse, review previous microbiology results and discuss with respiratory medicine and consultant microbiologist.
Treat for 7-14 days guided by clinical response and respiratory physician advice