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Title: New aspirations: the debate on aspiration pneumonia treatment guidelines.
Austin Authors: Kwong, Jason C ;Howden, Benjamin P ;Charles, Patrick G P 
Affiliation: Austin Health, Heidelberg, Victoria, Australia
Issue Date: 3-Oct-2011
Publication information: 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.
Gov't Doc #: 21978335
Type: Journal Article
Subjects: Anti-Infective Agents.therapeutic use
Metronidazole.therapeutic use
Pneumonia, Aspiration.diagnosis.etiology.therapy
Practice Guidelines as Topic
Appears in Collections:Journal articles

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