Pulmonology Book

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Aspiration Pneumonia

Aka: Aspiration Pneumonia
  1. Epidemiology
    1. Represents <15% of all community acquired Pneumonia
  2. Risk Factors
    1. Underlying Neurologic disease or Impairment
      1. Cerebrovascular Accident
      2. Dementia
    2. Esophageal dysfunction
  3. Etiology: Anaerobic Bacteria or Mixed oropharyngeal flora
    1. Bacteroides
    2. Peptostreptococcus
    3. Microaerophilic Streptococcus
    4. Fusobacterium
    5. Nocardia
  4. Pathophysiology
    1. Necrotizing infection may lead to cavitation
    2. Affects dependent lung lobes
  5. Symptoms
    1. Low grade fever
    2. Weight loss
    3. Productive cough with foul smelling Sputum
  6. Labs
    1. Sputum Gram Stain unreliable
    2. Sputum Culture unreliable
  7. Radiology: Images
    1. RadAspirationPneumoniaPaMedPix6057.jpgFrom MedPix with permission.
    2. RadAspirationPneumoniaLateralMedPix6058.jpgFrom MedPix with permission.
  8. Management: Antibiotics
    1. First Line
      1. Clindamycin 450-900 mg IV q8 hours
    2. Alternative
      1. Cefoxitin 2 grams IV q8 hours
      2. Ticarcillin-Clavulanate (Timentin) 3.1 grams IV q6h
      3. Piperacillin-Tazobactam (Zosyn) 3.375 g IV q6 hours
  9. Prevention
    1. Evaluate with Swallowing Exam
    2. Dysphagia Diet for moderate to severe Dysphagia
  10. References
    1. Gilbert (2001) Sanford Antimicrobial, p. 28
    2. Lomotan (1997) Postgrad Med 102(2):225-31
    3. Sasaki (1997) Intern Med 36(12):851-5

Aspiration Pneumonia (C0032290)

Definition (NCI) Pneumonia secondary to aspiration of liquids and gastric contents into the lungs.
Definition (MSH) A type of lung inflammation resulting from the aspiration of food, liquid, or gastric contents into the upper RESPIRATORY TRACT.
Concepts Disease or Syndrome (T047)
MSH D011015
ICD10 J69.0
SnomedCT 422588002, 47839005
English Pneumonia, inhalation, Aspiration Pneumonias, Pneumonia, Aspiration, Pneumonias, Aspiration, ASPIRATION PNEUMONIA, PNEUMONIA, ASPIRATION, Pneumonia, aspiration, ASPIRATION PNEUMONIAS, Aspiration pneumonia, NOS, Aspiration pneumonitis, NOS, Aspiration pneumonitis, Aspiration pneumonia, Inhalation pneumonia, Aspiration pneumonia (disorder), aspiration pneumonia (diagnosis), aspiration pneumonia, 2-503-504 ASPIRATION PNEUMONIAS, Pneumonia aspiration, Inhalational pneumonia, PNEUMONIA ASPIRATION, pneumonia, inhalation, Aspiration pneumonia NOS, Pneumonia, Aspiration [Disease/Finding], Pneumonia;aspiration, inhalation pneumonia, aspiration pneumonitis, pneumonia aspiration, pneumonia; aspiration, Aspiration Pneumonia
Dutch aspiratie pneumonie, pneumonie; aspiratie, aspiratiepneumonie, Aspiratiepneumonie, Pneumonie, aspiratie-
French Pneumonie par aspiration, Pneumopathie de déglutition, Pneumonie de déglutition, Bronchopneumopathie de déglutition, Pneumopathie d'inhalation, Pneumopathie par régurgitation
German Inhalationspneumonie, Aspirationspneumonie, Pneumonie, Aspirations-
Italian Polmonite da inalazione, Polmonite da aspirazione
Portuguese Pneumonia por inalação, Pneumonia por Aspiração, Pneumonia por aspiração, Pneumonia Aspirativa
Spanish Neumonía por inhalación, Neumonía inhalatoria, neumonía por aspiración, neumonía por inhalación, neumonía aspirativa (trastorno), neumonía aspirativa, neumonía por aspiración (trastorno), Neumonía por aspiración, Neumonía por Aspiración, Neumonia por Aspiracion
Japanese 吸入性肺炎, ｷｭｳﾆｭｳｾｲﾊｲｴﾝ, 酸吸引症候群, 吸引性肺炎, 誤嚥性肺炎, 吸引肺炎, 肺炎-誤嚥性, 肺炎-吸引性, 誤飲性肺炎, ｺﾞｴﾝｾｲﾊｲｴﾝ, 嚥下性肺炎, 肺炎-嚥下性
Swedish Aspirationspneumoni
Czech pneumonie aspirační, Pneumonie aspirační, Inhalační pneumonie, Aspirační pneumonie
Finnish Aspiraatiokeuhkokuume
Russian MENDEL'SONA SINDROM, ASPIRATSIONNAIA PNEVMONIIA, ASPIRATSIIA SODERZHIMOGO ZHELUDKA, PNEVMONIIA ASPIRATSIONNAIA, АСПИРАЦИОННАЯ ПНЕВМОНИЯ, АСПИРАЦИЯ СОДЕРЖИМОГО ЖЕЛУДКА, МЕНДЕЛЬСОНА СИНДРОМ, ПНЕВМОНИЯ АСПИРАЦИОННАЯ
Polish Zespół Mendelsona, Zapalenie płuc zachłystowe, Zapalenie płuc aspiracyjne
Hungarian Aspiratiót követő pneumonia, Inhalatios pneumonia, Aspiratiós pneumonia
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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