Transcription of LOWER RESPIRATORY TRACT INFECTIONS Community …
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LOWER RESPIRATORY TRACT INFECTIONS Community …
Part of the Antimicrobial Prescribing Guidelines for Primary Care. Updated January 2019. Next review: January 2022. 1 LOWER RESPIRATORY TRACT INFECTIONS Community -acquired pneumonia (CAP) For guidance on managing Community acquired pneumonia during COVID19 outbreak, see NICE (NG165) COVID-19 rapid guideline: managing suspected or confirmed pneumonia in adults in the Community . For choice of antibiotics in penicillin allergy, pregnancy and more severe disease, or if atypical pathogens are likely, see NICE (NG138) Pneumonia ( Community -acquired): antimicrobial prescribing. Bacterial causes: Streptococcus pneumoniae (very common in all age groups).
Alternative oral antibiotics if low severity, for penicillin allergy or if amoxicillin unsuitable (for example, atypical pathogens suspected) OR Doxycycline OR Clarithromycin Erythromycin (in pregnancy) 200mg first day then 100mg OD for 4 days 500mg BD 500mg QDS 5 days in total 5 days 5 days CRB-65 score = 1-2 (consider hospital referral)
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