Other causes of airspace opacity need to be considered 3 :. Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys.
Updating… Please wait. Unable to process the form. Check for errors and try again. Thank you for updating your details. Log In. Sign Up. Become a Gold Supporter and see no ads. Log in Sign up. Articles Cases Courses Quiz. About Recent Edits Go ad-free. Edit article. View revision history Report problem with Article. The usual site for an aspiration pneumonia is the apical and posterior segments of the lower lobe of the right lung. If the patient is supine then the aspirated material may also enter the posterior segment of the upper lobes.
Pathogens of community-acquired aspiration pneumonia are often the normal flora of the oropharynx, including:. Pathogens of nosocomial aspiration pneumonia include [ 2 ] :. In the absence of a tracheo-oesophageal fistula, significant aspiration usually occurs only during periods of impaired consciousness, with reflux oesophagitis with an oesophageal stricture, or in bulbar palsy.
The following are considered to be independent risk factors for aspiration pneumonia:. Nasogastric tube feeding is considered to be less of a risk than it used to be, due to modern nursing techniques eg, avoiding feeding patients in the supine position [ 5 ]. This depends on the underlying cause, general well-being of the patient, presence of complications, speed of diagnosis and effective treatment.
Lanspa MJ, Peyrani P, Wiemken T, et al ; Characteristics associated with clinician diagnosis of aspiration pneumonia: a descriptive study of afflicted patients and their outcomes. J Hosp Med. Epub Nov 1. Ther Adv Infect Dis. Med J Aust. Multidiscip Respir Med. Medical Therapy. Primary Prevention.
Secondary Prevention. Most recent articles. Most cited articles. Review articles. CME Programs. Powerpoint slides. Ongoing Trials at Clinical Trials. US National Guidelines Clearinghouse. NICE Guidance. FDA on Aspiration pneumonia x-ray. CDC onAspiration pneumonia x-ray. Aspiration pneumonia x-ray in the news. Blogs on Aspiration pneumonia x-ray. Directions to Hospitals Treating Pneumonia.
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