What is the initial treatment of aspiration pneumonia?

Updated: Aug 15, 2018
  • Author: Justina Gamache, MD; Chief Editor: Guy W Soo Hoo, MD, MPH  more...
  • Print
Answer

Answer

Initial treatment of patients with suspected aspiration pneumonia without risk factors for anaerobic involvement should mirror the treatment of community-acquired pneumonia: a third-generation cephalosporin with a macrolide or a fluoroquinolone alone. However, in severe pneumonia occurring many days after initiation of mechanical ventilation, the probability of resistant organisms, including P aeruginosa, Acinetobacter species, and MRSA, is increased, and, therefore, antibiotic treatment should be broader.


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!