Question

A 59-year-old man presents with fever, productive cough, and pleuritic chest pain. His vitals: temperature 38.3 °C, respiratory rate 26, blood pressure 110/70 mm Hg, pulse 104, oxygen saturation 93% on room air. Confusion is absent. CURB-65 score is 1 (for respiratory rate). According to Canadian and international CAP guidance, what is the most appropriate disposition?

Accepted Answer

Outpatient management with oral antibiotics

Answer

Discharge with no antibiotics

Answer

Short-term observation in the emergency department then discharge without antibiotics

Answer

Routine ICU admission

Answer

Direct admission to a medical ward with IV antibiotics for all CURB-65 scores ≥1

Practice question