Pneumonia

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.