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Question of the Day

A 67-year-old man presents to A&E with a 2-day history of fever, productive cough, and dyspnoea. Chest X-ray shows right lower lobe consolidation. His oxygen saturation is 92% on room air, respiratory rate is 24/min, and CURB-65 score is 2. According to NICE guidelines, what is the most appropriate initial antibiotic treatment?

Explanation: According to NICE guidelines (NG138), for community-acquired pneumonia with a CURB-65 score of 2 (moderate severity), dual therapy with amoxicillin and a macrolide (e.g., clarithromycin) is recommended in hospital settings to cover typical and atypical pathogens.

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