Question

A 57-year-old woman with suspected CAP asks about macrolide monotherapy. Local pneumococcal macrolide resistance is 28%. She has no comorbidities. Best advice?

Accepted Answer

Avoid macrolide monotherapy; choose doxycycline or high-dose amoxicillin

Answer

Macrolide monotherapy acceptable

Answer

Use fluoroquinolone first-line

Answer

Use cephalexin

Answer

Treat expectantly without antibiotics

Practice question

A 57-year-old woman with suspected CAP asks about macrolide monotherapy. Local pneumococcal macrolide resistance is 28%. She has no comorbidities. Best advice?