S. pneumoniae PNA

Severe Beta-Lactam Allergy

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