N163 told practioners to not worry about causing respiratory depression by supplying morphine and midazalom. Ng191 offered the failed drug remdesivir to treat covid. Which quickly causes liver and/or kidney failure.
Ng165 sought to treat pneumonia differently by not supplying routine antibiotics for bacterial pneumonia. Read through the document yourself: practitioners are being told to not supply antibiotics for bacterial pneumonia because they “don’t work for ‘covid pneumonia'”.
The symptons of bacterial pneumonia and covid pneumonia… are identical! So here we have a document where a protocol is more or less designed to kill more people. As usual the NICE website no longer hosts this page on their site and you have to access it via the archvie.org wayback machine.
Antibiotic treatment
4.5 As COVID‑19 pneumonia is caused by a virus, antibiotics are ineffective.
4.6 Do not offer an antibiotic for treatment or prevention of pneumonia if:
- COVID‑19 is likely to be the cause and
- symptoms are mild.
Inappropriate antibiotic use may reduce availability if used indiscriminately, and broad-spectrum antibiotics in particular may lead to Clostridioides difficile infection and antimicrobial resistance.4.7 Offer an oral antibiotic for treatment of pneumonia in people who can or wish to be treated in the community if:
- the likely cause is bacterial or
- it is unclear whether the cause is bacterial or viral and symptoms are more concerning or
- they are at high risk of complications because, for example, they are older or frail, or have a pre-existing comorbidity such as immunosuppression or significant heart or lung disease (for example bronchiectasis or COPD), or have a history of severe illness following previous lung infection.
4.8 When starting antibiotic treatment, the first-choice oral antibiotic is:
- doxycycline 200 mg on the first day, then 100 mg once a day for 5 days in total (not in pregnancy)
- alternative: amoxicillin 500 mg 3 times a day for 5 days.
4.9 Do not routinely use dual antibiotics.
4.10 For choice of antibiotics in penicillin allergy, pregnancy and more severe disease, or if atypical pathogens are likely, see the recommendations on choice of antibiotic in the NICE antimicrobial prescribing guideline on community-acquired pneumonia.
4.11 Start antibiotic treatment as soon as possible, taking into account any different methods needed to deliver medicines to patients during the COVID‑19 pandemic (see recommendation 1.3).1
REFERENCES
