In accordance with the applicable Order of the Ministry of Health of Ukraine dated 03.07.2006 No. 433 the protocol of medical aid to patients with community-acquired pneumonia stipulates that fluoroquinolones therapy may be prescribed as an alternative treatment regimen. Proper diagnostic pattern is specified in the unified clinical protocol of primary, secondary (specialized) and tertiary (highly specialized) medical care “Tuberculosis”, which is approved with the Order of the Ministry of Health of Ukraine dated 21.12.2012 No. 1091. (Section А 3, Diagnosis and Treatment Stages, page 55). This pattern, in its turn, must be reflected in local protocols in all regions across Ukraine.
3. A proper diagnostic algorithm should be followed for sputum smear-negative patients, including the use of a broad-spectrum antibiotic and excluding any fluoroquinolone.