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Community Acquired Pneumonia Treatment in the Community (Adults)

Comments from the Expert Advisory Committee

  • Assess using the CRB-65 score (Confusion, Respiratory rate ≥ 30/min, BP ≤90/60, Age ≥ 65)
  • Start antibiotics immediately
  • Avoid tetracyclines in pregnancy.
  • Low doses of penicillins are more likely to select out resistance.
  • The quinolones ciprofloxacin and ofloxacin have poor activity against pneumococci. However, they do have use in PROVEN pseudomonal infections. Levofloxacin have some anti-Gram-positive activity but should not be used as first line treatment
  • Individuals at risk of influenza and pneumococcal disease should be followed up for vaccination at convalescence in line with national immunisation guidelines.

Treatment Table - Community Acquired Pneumonia

Assess using the CRB-65 score (each symptom or sign scores one point)

(Confusion, Respiratory rate ≥ 30/min, BP ≤ 90/60, Age ≥ 65)

CAPtable17112020

¥ Stop antibiotic treatment after 5 days unless microbiological results suggest a longer course is needed or the person is not clinically stable

* Alternative doxycycline dose: 100mg every 12 hours. 
In non-severe infection, 200mg stat then 100mg every 24 hours can be considered.

Patient Information

Safe Prescribing (visit the safe prescribing page)

Reviewed November 2020