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Peritonitis

Created: 18/6/2007
Updated: 18/6/2007
 

PERITONITIS  

             

Recommended First Line - Cefotaxime + Metronidazole


  • Upper tract source (e.g. perforated ulcer)  predominantly gram-positive infections
  • Lower tract (e.g. colon) predominantly anaerobic and gram-negative aerobes

Common pathogens                      Appropriate Antibiotics


Klebsiella species                                 Ceftazidime, Cipro, Imipenem

Enterobacter species                            3rd Gen Cefs, Cipro, Gent

Enterococcus                                       Penicillin + Gent

Anaerobes (secondary peritonitis)         Metronidazole, Clindamycin

Strep.pneumoniae                                Penicillin, 3rd Gen Cefs


Spontaneous Bacterial Peritonitis

3rd Gen Cefs, Cipro, Imipenem



CAPD (Tenchkof catheters)    

Vancomycin +/- antifungal


(consider yeasts and Staph aureus)



ArticleDate:20070618
SiteSection: Article
 
   
    
                                            
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