A 79-year-old aspirates while sedated and is admitted with right-lower-lobe infiltrate but no abscess/empyema on imaging. What empiric change regardin...

Question

A 79-year-old aspirates while sedated and is admitted with right-lower-lobe infiltrate but no abscess/empyema on imaging. What empiric change regarding anaerobic coverage is recommended?

Accepted Answer

Do not add routine anaerobic coverage

Answer

Add clindamycin to cover anaerobes

Answer

Switch to piperacillin-tazobactam plus metronidazole

Answer

Add metronidazole to current ceftriaxone + azithromycin

Answer

Stop antibiotics entirely

us-abfm MCQ (SBA): Aspiration Pneumonia

A 79-year-old aspirates while sedated and is admitted with right-lower-lobe infiltrate but no abscess/empyema on imaging. What empiric change regarding anaerobic coverage is recommended?