7/25/2019 Tratamiento Pancreatitis (Johns Hopkins 2016)

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Pancreatitis

TREATMENT

pancreatitis (SAP), including those with sterile pancreatic necrosis.

prophylactic antibiotics have been associated with a change in the

spectrum of pancreatic isolates from enteric Gram-negatives to

Gram-positive organisms and fungi.

pancreas and/or percutaneous or surgical specimen with organisms

evident on gram stain or culture. Therapy should be directed based on

culture results.

OR

PLUS Metronidazole

500 mg IV Q8H

OR

PLUS

Metronidazole 500 mg IV Q8H

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Abdominalinfections

Pancreatic penetration of selected antibiotics

Good (>40%; MIC exceeded for most relevant organisms):fluoroquinolones, carbapenems, Ceftazidime, Cefepime, Metronidazole,

Piperacillin-tazobactam

Poor (