Question

A 76-year-old woman is admitted with a right lower lobe community-acquired pneumonia. Her observations are: respiratory rate 30 breaths/min, blood pressure 95/60 mmHg, urea 9 mmol/L, confusion, and age 76 years. Her CURB-65 score is 4. What is the most appropriate antibiotic strategy?

Accepted Answer

Intravenous dual therapy with a beta-lactam (such as Co-amoxiclav or Ceftriaxone) plus a macrolide in hospital

Answer

Oral Amoxicillin alone in the community

Answer

Oral Doxycycline alone at home

Answer

Intravenous Benzylpenicillin monotherapy on a general ward

Answer

Combination intravenous Benzylpenicillin and oral Doxycycline at home

Practice question

A 76-year-old woman is admitted with a right lower lobe community-acquired pneumonia. Her observations are: respiratory rate 30 breaths/min, blood pressure 95/60 mmHg, urea 9 mmol/L, confusion, and age 76 years. Her CURB-65 score is 4. What is the most appropriate antibiotic strategy?