Important: Notes

Assess that oral route is suitable and safe prior to prescribing PO antibiotic.

Manage as per community or hospital onset pneumonia with addition of metronidazole

e.g. Amoxicillin WITH metronidazole, Co-trimoxazole WITH metronidazole, IV Ceftriaxone WITH metronidazole

If metronidazole can’t be given or is not tolerated orally – metronidazole suppositories can be used instead at same dose and interval (i.e. Metronidazole suppositories 500mg PR 8 hourly)