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community-acquired pneumonia - Q fever

Content version
U-240.2
Updated
10/20/2025 - 14:06

Recommendations

≥ 18 years
Dosage Remarks
1st choice
doxycycline orally 200 mg once daily for 14 days

SWAB remarks

21 days in immunocompromised patients
2nd choice
moxifloxacin orally 400 mg once daily for 14 days

SWAB remarks

21 days in immunocompromised patients
3rd choice
ciprofloxacin orally 750 mg twice daily for 14 days

or

levofloxacin orally 750 mg once daily for 14 days

SWAB remarks

21 days in immunocompromised patients

Comments

Q fever is a notifiable disease, group C

Refer to an infectious diseases specialist if risk factors are present:

  • the patient has an AAA, vascular prosthesis or valvular heart disease
  • the patient is immunocompromised
  • the patient has chronic Q fever.

Repeat Q fever serology after 9 months to exclude chronic Q fever.

In patients with risk factors, repeat Q fever serology at 3, 6, 9 and 12 months.  

In pregnancy, only during the last month of pregnancy: cotrimoxazole 960 mg twice daily orally. Consult with an infectious diseases specialist/ gynaecologist. Note potential infectivity during delivery.