Necrotising or Cavitating Pneumonia
- PVL-producing Staph aureus
- Group A Strep
- Klebsiella pneumonia
Treat as CURB 65 Score ≥3 empirically.
If MRSA history or suspected - ADD Vancomycin IV (dose as per policy)
Consider possibility of TB - send 3x sputum samples for AFB microscopy and TB culture if suspicious history/radiology (e.g. protracted resp symptoms, fevers, night sweats, weight loss, upper lobe changes, lymphadenopathy)