HAP < 4 days since admission

First Line

Co-amoxiclav 625mg tds PO



if severe/ oral route compromised

Co-amoxiclav 1.2g IV 8hrly

Penicillin Allergy

Ciprofloxacin 500mg bd PO AND Vancomycin IV as per protocol OR

*Co-trimoxazole 960mg PO bd

*If using co-trimoxazole, monitor K+ and FBC


< 4 days since admission


Ensure sputum sample is sent.

Duration 7 days empirical therapy

If there is treatment failure/relapse check microbiology results, seek senior clinical review +/- D/W microbiology

Add Vancomycin IV as per policy if MRSA suspected/confirmed