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fasciitis necroticans

Advices

≥ 18 years
Priority Medication Remarks
Medication:

ceftriaxon iv 2000mg 1dd

+

clindamycine iv 600mg 3dd

+

gentamicine iv 1dd

Remarks:

Onbekende verwekker

Medication:

ceftriaxon iv 2000mg 1dd minimum 7 days

+

clindamycine iv 600mg 3dd minimum 7 days

+

gentamicine iv 1dd

Remarks:

Type 1 (Fournier)(aerobe en anaerobe mengflora, streptococ)

Medication:

benzylpenicilline iv 2million. IU 6dd minimum 7 days

+

clindamycine iv 600mg 3dd minimum 7 days

Remarks:

Type 2  (groep A streptokokken)

Overweeg iv immunoglobuline (Nanogam dag 1: 1 g/kg i.v., dag 2 en 3: 0.5 g/kg i.v.)

Medication:

cefuroxim iv 1500mg 3dd minimum 7 days

+

clindamycine iv 600mg 3dd minimum 7 days

Remarks:

Type 2  (groep A streptokokken), niet IgE-gemedieerde penicilline-allergie.

Overweeg iv immunoglobuline (Nanogam dag 1: 1 g/kg i.v., dag 2 en 3: 0.5 g/kg i.v.) 

Sources

Antimicrobial resources

The following antimicrobial agents have been used in these recommendations:

External antimicrobial resources
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Metadata

Swab vid: G-501552.1
Updated: 03/08/2023 - 17:17
Status: Published