An adult admitted with high-severity community-acquired pneumonia has produced a good-quality sputum sample. Sepsis is suspected and recent antibiotic...

Question

An adult admitted with high-severity community-acquired pneumonia has produced a good-quality sputum sample. Sepsis is suspected and recent antibiotics may have selected resistance. Which microbiological plan follows NICE 2025?

Accepted Answer

Culture blood and sputum; consider pneumococcal urinary antigen

Answer

Use respiratory viral PCR as the sole microbiological test

Answer

Defer microbiological sampling until broad-spectrum treatment fails

Answer

Use paired pneumococcal serology to determine immediate treatment

Answer

Obtain stool culture to identify the respiratory pathogen

HIV — MRCP Part 1 MCQ

An adult admitted with high-severity community-acquired pneumonia has produced a good-quality sputum sample. Sepsis is suspected and recent antibiotics may have selected resistance. Which microbiological plan follows NICE 2025?