A 74-year-old man presents with fever, productive cough with purulent sputum, pleuritic chest pain and right lower-lobe consolidation on chest X-ray. ...

Question

A 74-year-old man presents with fever, productive cough with purulent sputum, pleuritic chest pain and right lower-lobe consolidation on chest X-ray. He has no significant comorbidities and is haemodynamically stable with CURB-65 score 1. Which empiric antibiotic regimen is most appropriate for outpatient management of community-acquired pneumonia in this patient in Canada?

Accepted Answer

Oral amoxicillin plus a macrolide

Answer

High-dose amoxicillin alone

Answer

Azithromycin monotherapy

Answer

Respiratory fluoroquinolone alone for all outpatients

Answer

No antibiotics; this is likely viral

ca-mccqe1 MCQ (SBA): Community-acquired pneumonia