- Moderate
illness is described as a patient having
mild pneumonia using appropriate criteria in adults (CURB-65) or children.
- Adults with pneumonia but no signs of severe pneumonia and no
need for supplemental oxygen.
- A child with non-severe pneumonia who has cough or
difficulty breathing + fast breathing but no other signs of severe pneumonia.
Fast breathing (in-breaths/min):
- < 2 months: ≥ 60;
- 2–11 months: ≥ 50;
- 1– 5 years: ≥ 40,
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- Admit patients to the hospital and monitor vital
signs at least six hourly.
- Follow
closely for clinical deterioration especially in the vulnerable patients with
high risk of developing severe disease.
- Maintain O2
Sat > 92% with O2 via non-rebreather mask if available (up to 10-15L O2;
equivalent to 60-80% FiO2), or can give additional 6-10L O2 via Nasal Cannula
under a non-rebreather mask (equivalent to 80% FiO2). Refer Section on Oxygen
therapy
- Avoid IV
fluid unless there is a clinical indication
- Add empiric
oral antibiotics if you have strong suspicion of bacterial pneumonia
- In adult:
Amoxicillin 500mg PO TID or Amoxicillin-clavulanate 1gm PO BID or 625 mg PO
TID for 7days
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