Aspiration Pneumonia

First Line

If < 5days since admission

  • Amoxicillin 500mg IV 8hrly AND Metronidazole 500mg IV 8hrly

 If ≥ 5 days since admission or critically unwell

  • ADD gentamicin IV as per protocol
Penicillin Allergy

If < 5days since admission

  • Clarithromycin 500mg IV 12 hrly AND Metronidazole 500mg IV 8 hrly

 

If ≥ 5 days since admission or critically unwell

  • Ciprofloxacin 400mg IV 12hrly AND Metronidazole 500mg IV 8hrly
Notes

Send sputum when possible

Duration of therapy 5-7 days

Change to PO when clinically improved and aspiration is no longer a risk

Add Vancomycin as per protocol if MRSA suspected / confirmed