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gastrointestinale chirurgie

Advices

≥ 18 years
Priority Medication Remarks
Medication:

cefazoline iv 2g one-off

Remarks:

galblaas/galwegen

Medication:

cefazoline iv 2g one-off

+

metronidazol iv 500mg one-off

Remarks:

maag/duodenum chirurgie

Medication:

cefazoline iv 2g one-off

+

metronidazol iv 500mg one-off

Remarks:

colorectale chirurgie, appendectomie

Remarks: andere laparotomieën (schone ingrepen): geen profylaxe
≥ 18 years

Indications: Bij allergie voor penicilline

Priority Medication Remarks
Remarks:

Zie boven

Geen contra-indicatie voor cefazoline.

≥ 18 years

Indications: sterk vermoeden op- of bewezen cefalosporine-allergie of een eerdere ernstige 'delayed type' allergie op een ß-lactam antibioticum

Priority Medication Remarks
Medication:

clindamycine iv 600mg

+

gentamicine iv 5mg/kg one-off

≥ 18 years

Indications: Pre-operatieve profylaxe voor colorectale chirurgie

Priority Medication Remarks
Medication:

colistine po 20mg/ml 4dd 3 days

+

tobramycine po 16mg/ml 4dd 3 days

Remarks:

4 dd 5 ml suspensie

General comments

Sources

  1. SWAB Guideline V - Perioperatieve antibiotische profylaxe
  2. Pubmed.gov publication # PMID: 29351789

    Prevention of severe infectious complications after colorectal surgery using preoperative orally administered antibiotic prophylaxis (PreCaution): study protocol for a randomized controlled trial.

Antimicrobial resources

The following antimicrobial agents have been used in these recommendations:

External antimicrobial resources
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Metadata

Swab vid: G-388179.8
Updated: 11/14/2023 - 15:49
Status: Published