Remember to check allergy status
Note: Low doses of penicillins are more likely to select out resistance 1, we recommend 500mg of amoxicillin (adults). Do not use quinolone (ciprofloxacin, ofloxacin) first line due to poor pneumococcal activity 2 B-. Reserve all quinolones (including levofloxacin) for proven resistant organisms.
Acute cough, bronchitisNICE-CKS
Consider immediate antibiotics if older than 80yr and ONE of the following:
-hospitalisation in past year,
-congestive heart failure
OR > 65yrs with 2 of above.
Community acquired pneumonia (treatment in the community)2,3BTS 2009
For adults: Use CRB65 score to guide mortality risk, place of care and antibiotics.1
Each CRB65 parameter scores 1:
Respiratory rate >30/min;
BP systolic <90 or diastolic ≤ 60; Age >65;
Always give safety-net advice and likely duration of symptoms. Mycoplasma infection is rare in over 65s1