Beta-lactam resistant S. pneumoniae has not yet been identified at Island Health
Amoxicillin can be dosed at 500mg PO TID if MICs are 0.25 mg/L and below
Avoid using macrolides due to ~20% resistance; macrolides used for atypical coverage can be discontinued
IV Penicillin 2 million units IV Q4H is also a strewardly choice for S. pneumoniae CAP