Hospital Acquired Pneumonia or Aspiration Pneumonia

Micro-organism

Hospital Acquired Pneumonia or Aspiration Pneumonia

Duration

Early onset ( <5 days of admission) Treat as CAP

Late onset ( > 5 days of admission )

IV Piperacillin/Tazobactam 4.5g TID

Penicillin allergy : IV/PO Levofloxacin 500mg 12 hourly ( review requirement for iv therapy daily)

If immunocompromised: Add Clarithromycin IV 500mg 12 hourly

If MRSA + Add Vancomycin IV

Aspiration pneumonia treatment duration 10 days

IV Amoxycillin 1g 8 hourly +

IV Metronidazole 500mg 8 hourly

If hospital aspiration

Add Gentamicin

If on Gentamicin regime step down to :

PO Co-Amoxiclav 625mg 8 hourly (375mg if low body weight )

Allergy:

IV Clarithromycin 500mg 12 hourly +

IV Metronidazole 500mg 8 hourly+

IV Gentamicin