peritonitis - secundair (perforatie)

Advices

≥ 18 years
Priority Medication Remarks
Medication:

ceftriaxon iv 2000mg 1dd 5 to 14 days

+

metronidazol iv 500mg 3dd 5 to 14 days

+

aminoglycoside iv 1dd

Remarks:

aminoglycosiden optioneel; totdat kweek bekend is

Medication:

amoxicilline + clavulaanzuur iv 1000/200mg 4dd 5 to 14 days

+

aminoglycoside iv 1dd

Remarks:

aminoglycoside totdat kweek bekend is

Medication:

cefuroxim iv 1500mg 3dd 5 to 14 days

+

metronidazol iv 500mg 3dd 5 to 14 days

+

aminoglycoside iv 1dd

Remarks:

aminoglycoside totdat kweek bekend is

General comments

Duur afhankelijk van kliniek. Er zijn aanwijzingen dat 4 dagen antibiotische behandeling na het bereiken van source control voldoende is.

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-7369.3
Updated: 09/14/2019 - 17:09
Status: Published