Aspiration pneumonia bacterial infection: Difference between revisions

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[[Category:Emergency medicine]]
[[Category:Emergency medicine]]


==Diagnosis==
==Natural History, Complications and Prognosis==
==Natural History, Complications and Prognosis==
* [[Lung abscess]]
* [[Lung abscess]]

Revision as of 19:21, 8 September 2012

Aspiration pneumonia bacterial infection
ICD-10 J12, J13, J14, J15, J16, J17, J18, P23
ICD-9 480-486, 770.0
DiseasesDB 10166
MeSH pneumonia bacterial infection&field=entry#TreeC08.381.677 C08.381.677

Aspiration pneumonia bacterial infection Microchapters

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Patient Information

Overview

Pathophysiology

Causes

Differentiating Aspiration pneumonia bacterial infection from other Diseases

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Chest X Ray

Treatment

Medical Therapy

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Editor(s)-in-Chief: C. Michael Gibson, M.S., M.D. [1] Phone:617-632-7753; Associate Editor(s)-In-Chief: Priyamvada Singh, M.D. [2]

Overview

Historical Perspective

Pathophysiology

Causes

Differentiating Aspiration pneumonia bacterial infection from other Diseases

Epidemiology and Demographics

Risk factors

Natural History, Complications and Prognosis

Prognosis predictor scores: CURB-65 | Aspiration pneumonia bacterial infection severity index | Criteria for severe community acquired Aspiration pneumonia bacterial infection

Diagnosis

Diagnostic criteria | History and Symptoms | Physical Examination | Laboratory Findings | Chest X Ray

Treatment

Medical Therapy

Natural History, Complications and Prognosis

Risk factors

  • Poor dental hygiene is a risk factor
  • Patients with good dental hygiene and edentulous are less predisposed

Treatment

Medical therapy

Antibiotics

  • Treatment of choice clindamycin
    • Doses 600 mg Q8hourly, followed by 300 mg Q6hourly, or 450 mg tid
    • Advantage of clindamycin :
      • Cheap
      • Less incidences of superimposed MRSA
  • Other agents used: Ampicillin-sulbactam (1.5 g or 3 g twice daily), Imipenem (Invanz 500 mg BID), amoxicillin-clavulnate (875 mg orally bid), penicillin (1 to 2 million units IV Q6hourly) / amoxicillin (500 mg orally tid)+ metronidazole (500 mg orally or IV tid).
  • Monotherapy with metronidazole is not preferred as high failure rates have been reported. This is because metronidazole is ineffective against some pathogens such as microaerophilic and aerobic streptococci

References

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