Community Acquired Pneumonia

Micro Organisms

Community Acquired Pneumonia

Duration

Mild disease 5 days. Severe disease 5 days

Mild/Moderate (CURB65-0-2)

Important: Therapy

Amoxicillin 1g three times daily IV/PO (5 days)
or
if penicillin allergy Doxycycline 200mg on day 1 then 100mg once daily or if NBM IV clarithromycin 500mg bd

Severe (CURB65 3-5)

Important: Therapy

Co-amoxiclav IV 1.2g three times daily

+

Doxycycline 100mg twice daily

If penicillin allergy Levofloxacin IV 500mg twice daily monotherapy 

Step down to doxycycline 100mg twice daily for all severe CAP

ICU/HDU or NBM

Important: Therapy

Co-amoxiclav IV 1.2g three times daily

+

Clarithromycin IV 500mg twice daily

If penicillin allergy, IV levofloxacin 500mg bd (monotherapy)

Step down to doxycycline 100mg twice daily for all severe CAP

 

Important: Notes

See additional guidance for further information (see policy)

Assess CURB65 score