fasciitis necroticans
Advices
| Priority | Medication | Remarks | 
|---|---|---|
| 
                                              Medication: ceftriaxon iv 2000mg 1dd + 
                                                                            clindamycine iv or po 600mg 3dd + 
                                                                            gentamicine iv 1dd  | 
                    
                                               
                          Remarks: 
                           
                                          Onbekende verwekker  | 
                  |
| 
                                              Medication: ceftriaxon iv 2000mg 1dd minimum 7 days + 
                                                                            clindamycine iv or po 600mg 3dd + 
                                                                            gentamicine iv 1dd  | 
                    
                                               
                          Remarks: 
                           
                                          Type 1 (Fournier)(aerobe en anaerobe mengflora, streptococ)  | 
                  |
| 
                                              Medication: benzylpenicilline iv loading dose 3million. IU, 12million. IU continuous per 24 hours minimum 7 days + 
                                                                            clindamycine iv or po 600mg 3dd  | 
                    
                                               
                          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 or po 600mg 3dd  | 
                    
                                               
                          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
Menu position
Metadata
            Swab vid: G-502893.1
            Updated: 10/06/2025 - 17:43
            Status: Published
          
          
General comments
Totale behandelduur 14 dagen, versmallen en naar oraal o.b.v. kweekuitslagen.