Template:Epidural Abscess Treatment: Difference between revisions
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*Target [[Staphylococcus_Species|Staph]], [[Strep_Species|Strep]], and [[Gram_Negatives|Gram-negative bacilli]]<ref>Rigamonti D. et al. Spinal epidural abscess: contemporary trends in etiology, evaluation, and management. Surg Neurol 1999; 52:189-96</ref> | *Target [[Staphylococcus_Species|Staph]], [[Strep_Species|Strep]], and [[Gram_Negatives|Gram-negative bacilli]]<ref>Rigamonti D. et al. Spinal epidural abscess: contemporary trends in etiology, evaluation, and management. Surg Neurol 1999; 52:189-96</ref> | ||
*[[Vancomycin]] 15-20mg/kg BID + [[metronidazole]] | *[[Vancomycin]] 15-20mg/kg BID + [[metronidazole]] 500mg (7.5mg/kg) q6 hrs + ([[Cefotaxime]] or [[Ceftriaxone]] or [[Ceftazidime]]) | ||
**[[Ceftazidime]] is preferred if [[pseudomonas]] is considered likely | **[[Ceftazidime]] is preferred if [[pseudomonas]] is considered likely | ||
**Can substitute [[Nafcillin]] or [[Oxacillin]] for [[Vancomycin]] if not [[MRSA]] | **Can substitute [[Nafcillin]] or [[Oxacillin]] for [[Vancomycin]] if not [[MRSA]] | ||
''Treat for 6-8 weeks'' | ''Treat for 6-8 weeks'' | ||
Latest revision as of 23:26, 22 April 2021
- Target Staph, Strep, and Gram-negative bacilli[1]
- Vancomycin 15-20mg/kg BID + metronidazole 500mg (7.5mg/kg) q6 hrs + (Cefotaxime or Ceftriaxone or Ceftazidime)
- Ceftazidime is preferred if pseudomonas is considered likely
- Can substitute Nafcillin or Oxacillin for Vancomycin if not MRSA
Treat for 6-8 weeks
- ↑ Rigamonti D. et al. Spinal epidural abscess: contemporary trends in etiology, evaluation, and management. Surg Neurol 1999; 52:189-96