Prevention (click for further info)
Ensure all “at risk” patients receive an annual flu vaccination and pneumonia vaccination according to the following guidelines (available on www.gov.uk):
Diagnosis: (click for further info)
Use CRB65 tool to assess severity of a suspected pneumonia. (In otherwise well patients if the only point scored in CRB65 is for age it remains reasonable to use clinical judgement to decide to manage in primary care with appropriate review).
Prescribing: (click for further info)
Follow countywide antibiotic guidelines for treatment of community acquired pneumonia and always review antibiotics at day 5.
Referral: (click for further info)
Follow up: (click for further info)
Following a proven pneumonia; request chest x-ray at 6 weeks. Review x-ray and if infection is not fully resolved; refer patient under 2 week wait criteria.
Gloucestershire Respiratory Clinical Programme Group. November 2015 - Review date: November 2017
Please follow the resource link to the iRefer diagnostic guidance for Pneumonia follow-up CT scan.