Home Therapy

sepsis, vermoedelijk focus cholangitis

Advices

≥ 18 years
Priority	Medication	Remarks
Priority: 1st choice	Medication: amoxicilline iv 1000mg 4dd + aminoglycoside iv 1dd	Remarks: community-acquired cholangitis
Priority: 2nd choice	Medication: amoxicilline + clavulaanzuur iv 1000/200mg 4dd	Remarks: community-acquired cholangitis
Priority: 3rd choice	Medication: amoxicilline + clavulaanzuur iv 1000/200mg 4dd + aminoglycoside iv 1dd	Remarks: community-acquired cholangitis
	Medication: amoxicilline iv 1000mg 4dd + aminoglycoside iv 1dd	Remarks: nosocomiale sepsis en cholangitis

≥ 18 years

Indications: Penicillineallergie
Priority	Medication	Remarks
	Medication: cefuroxim iv 1500mg 3dd + aminoglycoside iv 1dd	Remarks: bij niet-IgE gemedieerde penicilline-allergie
	Medication: ceftriaxon iv 2000mg 1dd	Remarks: bij niet-IgE gemedieerde penicilline-allergie

≥ 18 years / < 20 kg
Priority	Medication	Remarks
	Medication: amoxicilline + clavulaanzuur iv 1000/200mg 4dd + aminoglycoside iv 1dd	Remarks: nosocomiale sepsis en cholangitis

preferred regime depending on local resistance data

cholangitis: after adequate drainage of the bile ducts: treatment duration maximum 3 days

The following antimicrobial agents have been used in these recommendations:

Swab vid: G-436603.4
Updated: 06/25/2018 - 19:00
Status: Published