Template:Appendicitis Antibiotics: Difference between revisions
(Convert to {{AntibioticDose}} for SMW antibiotic-disease linking with Adult/Pediatric tracking) |
(Add disease=Appendicitis parameter to AntibioticDose calls - fixes aggregation page display issue) |
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'''Options:''' | '''Options:''' | ||
*{{AntibioticDose|drug=Cefoxitin|dose=2g IV q6 hours|context=Adult Simple}} OR | *{{AntibioticDose|disease=Appendicitis|drug=Cefoxitin|dose=2g IV q6 hours|context=Adult Simple}} OR | ||
*{{AntibioticDose|drug=Cefotetan|dose=2g IV q12 hours|context=Adult Simple}} OR | *{{AntibioticDose|disease=Appendicitis|drug=Cefotetan|dose=2g IV q12 hours|context=Adult Simple}} OR | ||
*{{AntibioticDose|drug=Moxifloxacin|dose=400mg IV once daily|context=Adult Simple}} OR | *{{AntibioticDose|disease=Appendicitis|drug=Moxifloxacin|dose=400mg IV once daily|context=Adult Simple}} OR | ||
*{{AntibioticDose|drug=Ertapenem|dose=1g IV once daily|context=Adult Simple}} | *{{AntibioticDose|disease=Appendicitis|drug=Ertapenem|dose=1g IV once daily|context=Adult Simple}} | ||
====Pediatric Simple Appendicitis==== | ====Pediatric Simple Appendicitis==== | ||
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'''Options:''' | '''Options:''' | ||
*{{AntibioticDose|drug=Cefoxitin|dose=40mg/kg IV q6 hours|context=Pediatric Simple|population=Pediatric}} | *{{AntibioticDose|disease=Appendicitis|drug=Cefoxitin|dose=40mg/kg IV q6 hours|context=Pediatric Simple|population=Pediatric}} | ||
*{{AntibioticDose|drug=Cefotetan|dose=40mg/kg IV q12 hours|context=Pediatric Simple|population=Pediatric}} | *{{AntibioticDose|disease=Appendicitis|drug=Cefotetan|dose=40mg/kg IV q12 hours|context=Pediatric Simple|population=Pediatric}} | ||
*{{AntibioticDose|drug=Gentamicin|dose=2.5mg/kg IV q8hrs|context=Pediatric Simple|population=Pediatric}} + | *{{AntibioticDose|disease=Appendicitis|drug=Gentamicin|dose=2.5mg/kg IV q8hrs|context=Pediatric Simple|population=Pediatric}} + | ||
**{{AntibioticDose|drug=Metronidazole|dose=7.5mg/kg IV q6hrs|context=Pediatric Simple|population=Pediatric}} OR | **{{AntibioticDose|disease=Appendicitis|drug=Metronidazole|dose=7.5mg/kg IV q6hrs|context=Pediatric Simple|population=Pediatric}} OR | ||
**{{AntibioticDose|drug=Clindamycin|dose=10mg/kg IV q8hrs|context=Pediatric Simple|population=Pediatric}} | **{{AntibioticDose|disease=Appendicitis|drug=Clindamycin|dose=10mg/kg IV q8hrs|context=Pediatric Simple|population=Pediatric}} | ||
====Complicated Appendicitis==== | ====Complicated Appendicitis==== | ||
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'''Options:''' | '''Options:''' | ||
*{{AntibioticDose|drug=Metronidazole|dose=500 mg IV q8hrs|context=Complicated}} + | *{{AntibioticDose|disease=Appendicitis|drug=Metronidazole|dose=500 mg IV q8hrs|context=Complicated}} + | ||
**{{AntibioticDose|drug=Cefepime|dose=50 mg/kg IV q12hrs|context=Complicated}} OR | **{{AntibioticDose|disease=Appendicitis|drug=Cefepime|dose=50 mg/kg IV q12hrs|context=Complicated}} OR | ||
**{{AntibioticDose|drug=Ciprofloxacin|dose=400 mg IV q12hrs|context=Complicated}} OR | **{{AntibioticDose|disease=Appendicitis|drug=Ciprofloxacin|dose=400 mg IV q12hrs|context=Complicated}} OR | ||
**{{AntibioticDose|drug=Levofloxacin|dose=750 mg IV q24hrs|context=Complicated}} OR | **{{AntibioticDose|disease=Appendicitis|drug=Levofloxacin|dose=750 mg IV q24hrs|context=Complicated}} OR | ||
**{{AntibioticDose|drug=Aztreonam|dose=30 mg/kg IV q8hrs|context=Complicated}} | **{{AntibioticDose|disease=Appendicitis|drug=Aztreonam|dose=30 mg/kg IV q8hrs|context=Complicated}} | ||
*{{AntibioticDose|drug=Imipenem/Cilastatin|dose=25 mg/kg IV q6hrs (max 500mg)|context=Complicated}} | *{{AntibioticDose|disease=Appendicitis|drug=Imipenem/Cilastatin|dose=25 mg/kg IV q6hrs (max 500mg)|context=Complicated}} | ||
*{{AntibioticDose|drug=Meropenem|dose=20 mg/kg IV q8hrs (max 1g)|context=Complicated}} | *{{AntibioticDose|disease=Appendicitis|drug=Meropenem|dose=20 mg/kg IV q8hrs (max 1g)|context=Complicated}} | ||
*{{AntibioticDose|drug=Piperacillin/Tazobactam|dose=100 mg/kg (max 4.5g) IV q8hrs|context=Complicated}} | *{{AntibioticDose|disease=Appendicitis|drug=Piperacillin/Tazobactam|dose=100 mg/kg (max 4.5g) IV q8hrs|context=Complicated}} | ||
''Cautious use should be applied to use of [[Special:MyLanguage/fluoroquinolones|fluoroquinolones]] in complicated pediatric appendicitis due to the risk of tendon injury'' | ''Cautious use should be applied to use of [[Special:MyLanguage/fluoroquinolones|fluoroquinolones]] in complicated pediatric appendicitis due to the risk of tendon injury'' | ||
</translate> | </translate> | ||
Revision as of 23:12, 19 March 2026
Coverage should extend to E. coli, Klebsiella, Proteus, and Bacteroides (an anaerobe)
Adult Simple Appendicitis
Antibiotic prophylaxis should be coordinated with surgical consult
Options:
- Cefoxitin 2g IV q6 hours OR
- Cefotetan 2g IV q12 hours OR
- Moxifloxacin 400mg IV once daily OR
- Ertapenem 1g IV once daily
Pediatric Simple Appendicitis
Options:
- Cefoxitin 40mg/kg IV q6 hours
- Cefotetan 40mg/kg IV q12 hours
- Gentamicin 2.5mg/kg IV q8hrs +
- Metronidazole 7.5mg/kg IV q6hrs OR
- Clindamycin 10mg/kg IV q8hrs
Complicated Appendicitis
Defined as perforation, abscess, or phlegmon
Options:
- Metronidazole 500 mg IV q8hrs +
- Cefepime 50 mg/kg IV q12hrs OR
- Ciprofloxacin 400 mg IV q12hrs OR
- Levofloxacin 750 mg IV q24hrs OR
- Aztreonam 30 mg/kg IV q8hrs
- Imipenem/Cilastatin 25 mg/kg IV q6hrs (max 500mg)
- Meropenem 20 mg/kg IV q8hrs (max 1g)
- Piperacillin/Tazobactam 100 mg/kg (max 4.5g) IV q8hrs
Cautious use should be applied to use of fluoroquinolones in complicated pediatric appendicitis due to the risk of tendon injury