A 52-year-old smoker with COPD and frequent exacerbations is admitted with community-acquired pneumonia. He is haemodynamically stable and CURB-65 sco...

Question

A 52-year-old smoker with COPD and frequent exacerbations is admitted with community-acquired pneumonia. He is haemodynamically stable and CURB-65 score is 1. According to Canadian CAP guidelines, what is the appropriate initial antibiotic for outpatient treatment in most low-risk patients without significant comorbidities or risk factors for resistance?

Accepted Answer

Amoxicillin or amoxicillin-clavulanate with or without macrolide, depending on local resistance

Answer

Fluoroquinolone monotherapy for all

Answer

Routine dual IV therapy with ceftriaxone and azithromycin

Answer

No antibiotics are needed if CURB-65

Answer

High-dose clindamycin alone

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