Spectrum: Local Antimicrobial Stewardship, for IWK Health Centre

Community Acquired Pneumonia Outpatient

Most likely pathogens

Duration of therapy

7-10 days

Suggested regimen

Usual Dose:
Amoxicillin 15-20 mg/kg/dose PO TID
Maximum: 4 g/24h
(Usual maximum adult dose for CAP is 1g PO q8h)

OR

High Dose:
Amoxicillin 25-30 mg/kg/dose PO TID
Maximum: 4 g/24h
(Usual maximum adult dose for CAP is 1g PO q8h)

Penicillin allergy

If the patient has NOT had a previous IgE mediated reaction:
Cefprozil 15 mg/kg/dose PO BID
Maximum: 1 gram/24h

OR

Clarithromycin 7.5 mg/kg/dose PO BID
Maximum: 1 gram/24h

Note: macrolides have a higher incidence of pneumococcal resistance so if used ensure careful follow up