Pneumonia, aspiration (mild to moderate)
Review after 48 hours. Treat for 3-5 days.
Mild to Moderate aspiration pneumonia
Preferred
amoxicillin 30 mg/kg (max 500mg) iv TDS
If able to tolerate oral: amoxicillin po, see dosing table:
| Age | amoxicillin oral dose |
| 1 month to 11 months | 125mg TDS |
| 1 year to 4 years | 250mg TDS |
| 5 years and over | 500mg TDS |
Alternative
For penicillin allergy (non-severe and severe)
Under 6 weeks: Discuss with Paediatric ID
6 weeks and over: co-trimoxazole po (see dosing table below)
| Age | co-trimoxazole oral dose |
| 6 Weeks to 5 Months | 120mg BD |
| 6 Months to 5 Years | 240mg BD |
| 6 Years to 11 years | 480mg BD |
| 12 years to 17 years | 960mg BD |
If iv required and 6 weeks and over: co-trimoxazole 18mg/kg (max 960mg) iv BD
Severe aspiration pneumonia, including admission to ITU
Preferred
co-amoxiclav 30mg/kg (max 1.2g) iv TDS (BD if 1-2 months old)
Oral therapy (when able to tolerate): See dosing table below:
Alternative
For penicillin allergy (non-severe and severe)
For children under 6 months old: clarithromycin po (see dosing table below)
For children 6 months old and over: azithromycin 10mg/kg (max 500mg) po OD for 3 days
oral clarithromycin dosing information:
| Weight | clarithromycin oral dose |
| Under 8kg | 7.5mg/kg BD |
| 8 - 11kg | 62.5mg BD |
| 12 - 19 kg | 125mg BD |
If unable to tolerate oral: clarithromycin 7.5mg/kg (max 500mg) iv BD