Page 176 - HPP ANTIMICROBIAL GUIDELINE 2018
P. 176

Suggested Treatment
                         Infection/ Condition                                                                                         Comments
                                                                   Preferred                         Alternative

                 Breast abscess                       Cloxacillin 1gm IV q6h              Cefazolin 2gm IV q8h              Drainage maybe required


                 Burn wound sepsis                    Piperacillin/tazobactam 4.5gm IV    Cefepime 1 -2gm IV q8h
                                                      q6-8h


                 Mycotic aneurysm
                 Vascular prosthesis infection        Ampicillin/sulbactam 3gm  IV q6h

                                                      OR
                                                      Amoxicillin/clavulanate 1.2gm IV q8h


                 If colonized MRSA                    Vancomycin 25mg/kg IV stat then
                                                      1gm q12h


                 Ischaemic ulcers with infection      Ampicillin/sulbactam 1.5gm- 3gm IV                                    Duration of treatment:  7 days
                                                      q6h

                                                      OR
                                                      Amoxicillin/clavulanate 1.2gm IV q8h


                 Animal or human bite                 Amoxicillin/clavulanate 1.2gm IV q8h                                  Surgical debridement if necessary

                                                                                                                            Duration of treatment:  3-5 days

               Reference:
                   1.  IDSA Practise Guideline, April 2014
                   2.  The Surgical Infection Society Revised Guidelines on the Management of Intra-abdominal infection: Volume 18, Number 1, 2017






               HPP AMG                                                        Surgical Infections                                                        83
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