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Correspondence
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Volume 344:1868-1870 June 14, 2001 Number 24
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Aspiration Pneumonia

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To the Editor: We disagree with Marik (March 1 issue)1 about the bacteriology of aspiration pneumonia and his therapeutic recommendations. Marik contends that anaerobes are seldom involved in aspiration pneumonia, on the basis of both our results2 and his results.3 This may not be true for two reasons. In both studies, anaerobic conditions were not preserved during transport, which precludes optimal recovery of oxygen-sensitive anaerobes,4 and in our study the patients were routinely given penicillin G before sampling with a protected specimen brush was performed. Marik rightly points out that the range of potentially offending organisms is broad, and he . . . [Full Text of this Article]

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