HAP ≥5 days

First Line

Co-amoxiclav 1.2g IV 8hourly AND Gentamicin IV as per protocol

Penicillin Allergy

Ciprofloxacin 500mg bd PO AND Vancomycin IV as per protocol

Notes

 ≥5 days since admission

Ensure sputum sample is sent.

If there is treatment failure/relapse check microbiology results, seek senior clinical review +/- D/W microbiology

Add Vancomycin IV as per policy if MRSA suspected/confirmed