Template:Cholecystitis Antibiotics: Difference between revisions
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====Complicated==== | ====Complicated==== | ||
''Complicated disease such as severe sepsis or hemodynamic instability'' | ''Complicated disease such as severe sepsis or hemodynamic instability'' | ||
*[[Vancomycin]] 15-20mg/kg PLUS any of the following options | |||
'''Options:''' | '''Options:''' | ||
*[[Metronidazole]] 500mg IV q8hrs PLUS [[Ciprofloxacin]] 400mg IV q12hrs | *[[Metronidazole]] 500mg IV q8hrs PLUS [[Ciprofloxacin]] 400mg IV q12hrs | ||
Revision as of 20:29, 14 April 2015
Coverage is targeted at E. coli, Enterococcus, Bacteroides, and Clostridium (anerobic)
Uncomplicated Cholecystitis
- Ertapenem 1g IV once daily OR
- Metronidazole 500mg IV q8hrs PLUS
- Ciprofloxacin 400mg IV q12 hrs OR
- Levofloxacin 750mg IV q24hrs OR
- Ceftriaxone 1g IV q24hrs
Complicated
Complicated disease such as severe sepsis or hemodynamic instability
- Vancomycin 15-20mg/kg PLUS any of the following options
Options:
- Metronidazole 500mg IV q8hrs PLUS Ciprofloxacin 400mg IV q12hrs
- Piperacillin/Tazobactam 4.5g IV q8hrs
- Imipenem/Cilastin 500mg IV q6hrs
- Doripenem 500mg IV q8hrs
- Meropenem 1g IV q8hrs