Low Severity

Notes

Mortality less than 1%

Unless hospitalized for reason other than pneumonia

If microbial cause of infection known, treat accordingly

Empiric Therapy

  • Dose adjustment required for renal impairment

  • Amoxicillin is the oral beta-lactam that offers the best coverage against S. pneumoniae

OR

If Risk for Gram-negative bacilli or *S. aureus*

  • Post-influenza

  • Alcoholism

  • COPD

  • Nursing home

  • Dose adjustment required for renal impairment

OR

  • If true immediate penicillin allergy

  • Dose adjustment required for renal impairment

True, immediate IgE-mediated allergies include, but are not limited to:

  • Anaphylaxis

  • Urticaria

  • Angioedema

  • Hypotension

  • Bronchospasm

  • Stridor

  • Pruritis

Microbiology

Tests are not routinely required unless hospitalized

Duration

Treat for a minimum of 5 days, and then until the patient meets all clinical stability criteria, then STOP antibiotics

For example:

  • Extrapulmonary infections

  • Empyema

  • Infections caused by P. aeruginosa or S. aureus

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