HAP ≥5 days

First Line

 If mild-moderate infection without sepsis:

  • Co-amoxiclav 625mg PO 8 hourly or Co-trimoxazole 960mg PO 12 hourly

 

If severe infection/sepsis:

Piperacillin-Tazobactam (Tazocin) 4.5g IV 8 hourly

 

Penicillin Allergy

 If mild-moderate infection without sepsis:

  • Co-trimoxazole 960mg PO 12 hourly

 

If severe infection/sepsis:

Notes

Ensure sputum sample is sent.

If there is treatment failure/relapse check microbiology results and seek senior review.

Add Vancomycin IV as per protocol if MRSA suspected/confirmed