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mediastinitis

Advices

≥ 18 years
Priority Medication Remarks
Medication:

amoxicilline + clavulaanzuur iv 1000/100mg 6dd 2 to 6 weeks

Remarks:

SWAB remarks

Na perforatie tr. digestivus: community-accquired. 

Medication:

ceftriaxon iv 2000mg 1dd 2 to 6 weeks

+

metronidazol iv 500mg 3dd 2 weeks

Remarks:

SWAB remarks

Na perforatie tr. digestivus: na manipulatie of ingreep. 

Medication:

cefuroxim iv 1500mg 3dd 2 to 6 weeks

Remarks:

SWAB remarks

Postoperatief na sternotomie. Versmallen als kweek bekend is.

General comments

Op geleide van kweek wordt therapie aangepast

Indien er voorheen al langer breedspectrum antibiotica werden toegepast overwegen om ook evt gisten te behandelen; dan  caspofungin toevoegen.

Sources

  1. Pubmed.gov publication # 31306791

    Pastene B, et al. Mediastinitis in the intensive care unit patient: a narrative review. Clin Microbiol Infect. 2020 Jan;26(1):26-34.

Antimicrobial resources

The following antimicrobial agents have been used in these recommendations:

External antimicrobial resources
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Metadata

Swab vid: G-8519.6
Updated: 12/15/2022 - 15:53
Status: Published