An adult has moderate-severity community-acquired pneumonia, can take oral treatment and has immediate penicillin hypersensitivity. QTc is 520 ms, so ...

Question

An adult has moderate-severity community-acquired pneumonia, can take oral treatment and has immediate penicillin hypersensitivity. QTc is 520 ms, so a macrolide is clinically unsuitable. Which regimen matches current NICE guidance?

Accepted Answer

Give doxycycline 200 mg on day 1, then 100 mg once daily for 4 days

Answer

Give amoxicillin 1 g on day 1, then 500 mg three times daily for 4 days

Answer

Give clarithromycin 1 g on day 1, then 500 mg twice daily for 9 days

Answer

Give levofloxacin 1 g on day 1, then 500 mg twice daily for 13 days

Answer

Give co-trimoxazole 1.92 g on day 1, then 960 mg twice daily for 6 days

Community-Acquired Pneumonia — MRCP Part 1 MCQ

An adult has moderate-severity community-acquired pneumonia, can take oral treatment and has immediate penicillin hypersensitivity. QTc is 520 ms, so a macrolide is clinically unsuitable. Which regimen matches current NICE guidance?