Aspiration Pneumonia

  • Most people with aspiration do not develop pneumonia; Antibiotics are not required for aspiration pneumonitis.

  • Patients with adequate respiratory reserve can be monitored off antibiotics.

  • Fever, crackles, and new chest radiograph (CXR) opacification can be seen in both aspiration pneumonitis and pneumonia.

  • Piperacillin/tazobactam is not first line therapy for hospital acquired “aspiration” pneumonia and should be reserved for patients at high risk for antibiotic resistant organisms.



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Guideline adapted from Providence Health Care