fasciitis necroticans
Advices
| Priority | Medication | Remarks |
|---|---|---|
|
Priority: 1st choice |
Medication: benzylpenicilline iv 2million. IU 6dd 10 to 14 days +
clindamycine iv 600mg 3dd 3 to 5 days +
gentamicine iv 5mg/kg 1dd 1 day |
Remarks:
Onbekende verwekker |
|
Priority: 1st choice |
Medication: piperacilline/tazobactam iv 4000/500mg 3dd +
clindamycine iv 600mg 3dd 3 to 5 days +
gentamicine iv 5mg/kg one-off |
Remarks:
Risico op gemengde aerobe/anaerobe flora (gangreen van Fournier oftewel type I fasciitis necroticans) |
|
Priority: 1st choice |
Medication: benzylpenicilline iv 2000mg 6dd 10 days to 14 +
clindamycine iv 600mg 3dd 3 to 5 days |
Remarks:
|
Sources
Antimicrobial resources
The following antimicrobial agents have been used in these recommendations:
External antimicrobial resources
Menu position
Metadata
Swab vid: G-501987.1
Updated: 12/19/2023 - 19:25
Status: Published
General comments
Altijd overleg met de chirurg en de arts-microbioloog/internist-infectioloog! Antibiotica is adjuvante therapie aan primaire (chirurgische) source control.
Van belang zijn voor keuze antibiotica: synergistische werking, toxineremming en (initieel) brede dekking