8.2.7
Pneumonia
Clinical HIV Guidelines, 5th Edition, 2022. Chapter 8, HIV-related diseases.
Signs and symptoms
Productive cough; chest pain; fever; tachypnoea / dyspnoea
Investigations
Infiltrations on CXR Investigate for COVID-19 and TB, particularly if there is no improvement on standard antibiotic treatment.
Management: mild and moderate cases Child: See IMCI guidelines Adult, primary regimen:
Amoxicillin tabs 1000 mg 8-hourly for 5 days If no improvement: secondary regimen Doxycycline tabs 100 mg 12-hourly for 5 days or Erythromycin tabs 500mg 6-hourly for 5 days Management: severe cases Child: See IMCI guidelines Adult, primary regimen:
Amoxicillin + clavulanic acid 625mg tabs 8-hourly for 5-7 days + Macrolide antibiotic (erythromycin or azithromycin tabs)
If no improvement: secondary regimen Ceftriaxone 2g IV + macrolide antibiotic or doxycycline Add Gentamycin if no response.
Check doses against the printed guideline and your clinical judgement before treating a patient. Spotted an error? Report it from the contact links below.
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