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IV-to-Oral Switch CAP — SCE Infectious Diseases MCQ

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HardAntimicrobial StewardshipIV-to-Oral Switch CAPSCE Infectious Diseases

After 48 hours of IV treatment for CAP, a patient is afebrile, haemodynamically stable, absorbing tablets and improving clinically. Cultures remain pending. What should happen?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: BSwitch now to an oral equivalent and refine the total course when cultures return

Explanation lettering: B = shown as A · A = shown as B · E = shown as C · C = shown as D · D = shown as E

A is correct: clinical stability and oral absorption permit switch; pending cultures can refine later. B–E prolong IV treatment using unsupported endpoints.

Reference: NICE NG250: https://www.nice.org.uk/guidance/ng250/chapter/recommendations