Pneumonia In Immunocompromised

First Line

Important: Therapy

Piperacillin-Tazobactam (Tazocin) 4.5g IV 6 hourly

ADD Clarithromycin 500mg PO/IV 12 hourly if community acquired pneumonia

 

Penicillin Allergy

Important: Therapy

Levofloxacin 500mg PO 12 hourly (consider safety issues)

(No additional clarithromycin required if community acquired as excellent atypical cover)

 

If already on ciprofloxacin prophylaxis:

Vancomycin IV AND Gentamicin IV as per protocol

Add Clarithromycin 500mg PO/IV 12 hourly if community acquired pneumonia

 

 

Important: Notes

e.g on immunosupressant drugs, neutropenia

Ensure sputum and atypical pneumonia screens sent ASAP

If there is treatment failure/relapse check microbiology results, seek senior clinical review +/- consider discussion with Consultant microbiologist