12th January 2024

A 78-year-old woman presents to A&E with a 3-day history of cough, shortness of breath and fever.

A 78-year-old woman presents to A&E with a 3-day history of cough, shortness of breath and fever. Her initial observations are as follows: BP: 138/74mmHg, HR 105 bpm, RR 34 breaths per minute, oxygen saturations 94% on air, temperature 38.8 degrees Celsius. A chest X-ray shows left lower zone consolidation. An AMTS is performed, which is 9/10. She has no known drug allergies. Her blood test results are shown below: 

Hb 135 g/L (115-160)

WCC 16.2 x 10*9/L (4.0-11.0)

Urea: 8.1 mmol/L (2.5 – 7.8 mmol/L)

CRP 168 mg/L (<10)

Which of the following is the most appropriate antibiotic combination for this patient?

Select the SINGLE most appropriate option from the list below. Select ONE option only.