Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/11348
Title: New aspirations: the debate on aspiration pneumonia treatment guidelines.
Authors: Kwong, Jason C;Howden, Benjamin P;Charles, Patrick G P
Affiliation: Austin Health, Melbourne, VIC. jason.kwong@austin.org.au
Issue Date: 3-Oct-2011
Citation: Medical Journal of Australia; 195(7): 380-1
Abstract: Aspiration pneumonia occurs most commonly in patients with a predisposition to aspiration (eg, those with neurological bulbar dysfunction). There is limited evidence regarding the involvement of anaerobes in most cases of aspiration pneumonia. Most patients respond to treatment for aspiration pneumonia without specific anti-anaerobic therapy such as metronidazole. Metronidazole has adverse side effects, and widespread use where not indicated can promote carriage of multiresistant intestinal flora such as vancomycin-resistant enterococci. Use of metronidazole may be appropriate in patients with aspiration pneumonia and evidence of a lung abscess, necrotising pneumonia, putrid sputum or severe periodontal disease.
Internal ID Number: 21978335
URI: http://ahro.austin.org.au/austinjspui/handle/1/11348
URL: http://www.ncbi.nlm.nih.gov/pubmed/21978335
Type: Journal Article
Subjects: Anti-Infective Agents.therapeutic use
Australia
Humans
Metronidazole.therapeutic use
Pneumonia, Aspiration.diagnosis.etiology.therapy
Practice Guidelines as Topic
Appears in Collections:Journal articles

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