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peritonitis - secundair (perforatie)

Advices

≥ 18 years
Priority Medication Remarks
Medication:

ceftriaxon iv 2000mg 1dd

+

metronidazol iv 500mg 3dd

+

gentamicine iv 5mg/kg 1dd

Remarks:

Gentamicine alleen bij sepsis.

Medication:

amoxicilline + clavulaanzuur po 625mg 4dd

Remarks:

Als orale uitbehandeling.

Medication:

clindamycine iv 600mg 3dd

+

ciprofloxacine iv 500mg 2dd

Remarks:

Als orale uitbehandeling bij penicilline allergie 

General comments

Behandelduur 3 dagen vanaf source controle, 4 dagen bij sepsis. 

Sources

  1. Pubmed.gov publication # 25992746

    Trial of short-course antimicrobial therapy for intraabdominal infection. Sawyer RG, Claridge JA, Nathens AB, et al. N Engl J Med. 2015 May 21;372(21):1996-2005.

Antimicrobial resources

The following antimicrobial agents have been used in these recommendations:

External antimicrobial resources
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Metadata

Swab vid: G-501457.1
Updated: 02/01/2023 - 17:28
Status: Published