Aspiration pneumonia

Micro Organisms

Aspiration pneumonia

Duration

Non severe total 5 days

Severe total IV/PO 7 days

Non Severe

Therapy

PO amoxicillin + metronidazole

Severe

Therapy

 

IV Amoxicillin + Metronidazole + Gentamicin (If penicillin allergic: replace amoxicillin with PO Doxycycline or IV Clarithromycin*)

Step down: PO Amoxicillin + Metronidazole

If pencillin allergic: Doxycycline 100mg bd + Metronidazole TOTAL IV/PO 7 days

Notes:

* Consider risk of prolonged QT interval and interactions e.g. statins