Adult
Community-acquired pneumonia (CAP): non-severe (CURB65= 0-1)
Community-acquired pneumonia (CAP)
- symptoms consistent with lower respiratory tract infection (i.e. fever, cough, chest pain) AND evidence of consolidation on Chest imaging.
CURB65: Confusion (AMT 8 or less), Urea greater than 7, Resp rate 30 or more, BP less than 90 systolic or 60 or less diastolic, Age 65 years or older
Preferred
amoxicillin 500mg po tds
Alternative
For non-severe and severe penicillin allergy, OR pre-treatment with amoxicillin (within 2 weeks): doxycycline 100 mg po bd
For penicillin allergy, non-severe and severe AND previously treated with doxycycline within 2 weeks: clarithromycin 500mg bd po
Alternative in pregnancy for patients with penicillin allergy: erythromycin 500 mg po qds
Consider Delabelling of spurious penicillin allergy in patients who are low risk and are clinically stable.