Info

🌱 來自: Definitions-and-clinical-manifestations

Aspiration pneumonitis

Treatment recommendations for community-acquired aspiration pneumonia – For patients with a clinical picture that is strongly suggestive of aspiration pneumonia acquired in a community setting (eg, witnessed aspiration event, risk factors for aspiration, compatible imaging, subacute course, putrid breath), we select an antibiotic regimen that includes coverage for most pathogenic oral flora, including anaerobic bacteria. The specific regimen varies with the clinical setting, severity of illness, risk factors for resistant pathogens, and antibiotic allergies (algorithm 1) (see ‘Choice of regimen’ above):

Treatment recommendations for community-acquired aspiration pneumonia

• For patients with a clinical picture that is strongly suggestive of aspiration pneumonia acquired in a community setting ( eg , witnessed aspiration event , risk factors for aspiration , compatible imaging , subacute course , putrid breath ) , we select an antibiotic regimen that includes coverage for most pathogenic oral flora , including anaerobic bacteria .
• The specific regimen varies with the clinical setting , severity of illness , risk factors for resistant pathogens , and antibiotic allergies ( algorithm 1 ) ( see ‘Choice of regimen ’ above ) :

Treatment recommendations for hospital-acquired aspiration pneumonia

• For patients with aspiration pneumonia acquired in a hospital setting , we generally target aerobic bacteria , because they are generally more important than anaerobes , using standard hospital acquired pneumonia ( HAP ) algorithms ( algorithm 3 and algorithm 4 ) .
• However , for patients with a witnessed aspiration , severe periodontal disease , imaging suggesting a necrotizing process , or failure to respond to an antibiotic regimen without anaerobic coverage , we add anaerobic coverage .