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Pneumonia, Aspiration

Afreen N Papa, MD and Sarah Burroughs, DO Reviewed 06/2022
 


BASICS

DESCRIPTION

  • Pneumonia due to the misdirection of large volume of gastric bacteria into the lung parenchyma

  • Contrasts with typical pneumonia, which occurs by direct microinhalation of infectious p...

DIAGNOSIS

  • There is no “gold standard” test for aspiration pneumonia; radiologic, clinical, and bacteriologic criteria have all been used. Most instances of aspiration are not observed (1)[B].

  • Diagnosi...

TREATMENT

MEDICATION

  • Antibiotics are indicated for aspiration pneumonia and should be tailored to the risk profile (CAP vs. HCAP) of the patient. Many patients at risk for aspiration pneumonia are also...

ONGOING CARE

DIET

  • NPO if reduced consciousness

  • Aggressive oral hygiene

  • Soft diet with thickened liquids

  • Encourage smaller bites.

  • Chin-down swallowing

  • Mechanical strategies

    • Elevated head 30 to 45 degrees when...

REFERENCES

1
DiBardino  DM, Wunderink  RG. Aspiration pneumonia: a review of modern trends. J Crit Care.  2015;30(1):40–48. [View Abstract on OvidMedline] ...

CODES

ICD10

  • J69.0 Pneumonitis due to inhalation of food and vomit

  • J69.8 Pneumonitis due to inhalation of other solids and liquids

  • J69.1 Pneumonitis due to inhalation of oils and essences

SNOMED

  • 422588002 a...

CLINICAL PEARLS

  • Aspiration pneumonia is usually a clinical diagnosis.

  • Initial antibiotic treatment is empiric. Routine coverage of anaerobes is unnecessary in absence of specific risk factors.

  • Typical p...

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