A nursing-home resident aspirated during a meal and now has pneumonia without abscess or empyema. Which empiric approach is recommended?...

Question

A nursing-home resident aspirated during a meal and now has pneumonia without abscess or empyema. Which empiric approach is recommended?

Accepted Answer

No antibiotics unless WBC >15,000

Answer

Mandatory routine anaerobic coverage for all aspiration pneumonia

Answer

Add metronidazole to all CAP regimens

Answer

Standard CAP regimen without routine anaerobic coverage unless abscess/empyema suspected

Answer

Macrolide monotherapy regardless of comorbidities

us-abim MCQ (SBA): Aspiration-related CAP