Comments from the Expert Advisory Committee
- Community acquired pneumonia (CAP) is a pneumonia that is acquired outside hospital.
- CAP in the community can been defined as:
- Symptoms of an acute lower respiratory tract illness (cough and at least one other lower respiratory tract symptom)
- New focal chest signs on examination
- At least one systemic feature (either a symptom complex of sweating, fevers, shivers, aches and pains and/or temperature of 380C or more)
- Start antibiotics immediately
- Review if symptoms are not improving as expected with antibiotics and escalate therapy, or consider hospital referral.
- Assess severity using the CRB-65 score.
- The need for hospital referral should be assessed, and at review, re-assessed using the CRB65 criteria.
- At convalescence, ensure COVID-19, influenza and pneumococcal vaccinations up to date.
Treatment Table - Community Acquired Pneumonia
* Alternative doxycycline dose: 100mg every 12 hours.
In non-severe infection, 200mg stat then 100mg every 24 hours can be considered.
- Pleuritic pain should be relieved using simple analgesia, and consider pulmonary embolism.
- Consider advising patients on hydration and smoking cessation where appropriate.
- Consider time off work for patients with CAP dependent on clinical assessment.
- Advise to consult pharmacist for symptom relief.
Reviewed October 2021