Template:Peritonitis Antibiotics: Difference between revisions
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===Intra-Abdominal Sepsis/[[Peritonitis]]=== | ===Intra-Abdominal Sepsis/[[Peritonitis]]=== | ||
'''Harbor''' | |||
====Moderate==== | ====Moderate==== | ||
*[[Metronidazole]] 500mg IV q8hrs PLUS | *[[Metronidazole]] 500mg IV q8hrs PLUS | ||
| Line 16: | Line 17: | ||
*[[Doripenem]] 500mg IV q8hrs OR | *[[Doripenem]] 500mg IV q8hrs OR | ||
*[[Aztreonam]] 2g (30mg/kg) IV q8hrs + [[Metronidazole]] 500mg IV q8hrs | *[[Aztreonam]] 2g (30mg/kg) IV q8hrs + [[Metronidazole]] 500mg IV q8hrs | ||
====Other==== | |||
*Piperacillin-tazobactam or ticarcillin-clavulanate, 3.1 g IV every 6 hours; or ertapenem, 1 g every 24 hours; or moxifloxacin, 400 mg IV every 24 hours | |||
====Santa Monica==== | |||
*Primary therapy | |||
** piperacillin/tazobactam 4.5g IV q6h OR ertapenem 1g IV q24h OR ceftriaxone 1g IV q24h | |||
**AND, metronidazole 500mg IV q8h | |||
** [[vancomycin]] 15mg/kg/dose IV q12h [Maximum dose of 1500mg] | |||
*If allergy or prior exposure | |||
**[[aztreonam]] 2g IV q8h | |||
**AND, metronidazole 500mg IV q8h | |||
**+/- [[vancomycin]] 15mg/kg/dose IV q12h [Maximum dose of 1500mg] | |||
Revision as of 18:00, 7 May 2016
Intra-Abdominal Sepsis/Peritonitis
Harbor
Moderate
- Metronidazole 500mg IV q8hrs PLUS
- Ceftriaxone 1g IV once daily OR
- Ciprofloxacin 400mg IV q12hrs OR
- Cefazolin 1g (30mg/kg) IV q8hrs OR
- Levofloxacin 750mg IV once daily
Severe
- Piperacillin/Tazobactam 4.5g (80mg/kg) IV q8hrs OR
- Metronidazole 500mg IV q8hrs PLUS
- Cefepime 2g IV once daily OR
- Ciprofloxacin 400mg IV q12hrs OR
- Levofloxacin 750mg IV once daily
- Meropenem 1g (20mg/kg) IV q8hrs OR
- Doripenem 500mg IV q8hrs OR
- Aztreonam 2g (30mg/kg) IV q8hrs + Metronidazole 500mg IV q8hrs
Other
- Piperacillin-tazobactam or ticarcillin-clavulanate, 3.1 g IV every 6 hours; or ertapenem, 1 g every 24 hours; or moxifloxacin, 400 mg IV every 24 hours
Santa Monica
- Primary therapy
- piperacillin/tazobactam 4.5g IV q6h OR ertapenem 1g IV q24h OR ceftriaxone 1g IV q24h
- AND, metronidazole 500mg IV q8h
- vancomycin 15mg/kg/dose IV q12h [Maximum dose of 1500mg]
- If allergy or prior exposure
- aztreonam 2g IV q8h
- AND, metronidazole 500mg IV q8h
- +/- vancomycin 15mg/kg/dose IV q12h [Maximum dose of 1500mg]