Cholangitis primary prevention: Difference between revisions
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==Primary Prevention== | ==Primary Prevention== | ||
* There are no established measures for the primary prevention of cholangitis in otherwise healthy people. | |||
* Treatment of [[gallstones]], [[tumors]], and infestations of parasites may reduce the risk for some people. | |||
* Patients undergoing [[ERCP]] should have prophylactic antibiotics. | |||
*Patients with compromised biliary systems prone to developing recurrent cholangitis may benefit from antibiotic maintenance therapy, given daily in lower-than-therapeutic dosages.<ref name="pmid7986900">{{cite journal |vauthors=van den Hazel SJ, Speelman P, Tytgat GN, Dankert J, van Leeuwen DJ |title=Role of antibiotics in the treatment and prevention of acute and recurrent cholangitis |journal=Clin. Infect. Dis. |volume=19 |issue=2 |pages=279–86 |year=1994 |pmid=7986900 |doi= |url=}}</ref> | *Patients with compromised biliary systems prone to developing recurrent cholangitis may benefit from antibiotic maintenance therapy, given daily in lower-than-therapeutic dosages.<ref name="pmid7986900">{{cite journal |vauthors=van den Hazel SJ, Speelman P, Tytgat GN, Dankert J, van Leeuwen DJ |title=Role of antibiotics in the treatment and prevention of acute and recurrent cholangitis |journal=Clin. Infect. Dis. |volume=19 |issue=2 |pages=279–86 |year=1994 |pmid=7986900 |doi= |url=}}</ref> | ||
**A metal or plastic [[stent]] within the bile system may be needed to prevent recurrence | **A metal or plastic [[stent]] within the bile system may be needed to prevent recurrence | ||
==References== | ==References== | ||
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{{WikiDoc Help Menu}} | {{WikiDoc Help Menu}} | ||
{{WikiDoc Sources}}[[Category:Emergency medicine]] | {{WikiDoc Sources}} | ||
[[Category:Emergency medicine]] | |||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Primary care]] | [[Category:Primary care]] |
Revision as of 21:01, 15 December 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Farwa Haideri [2]
Overview
Although reestablishing biliary drainage is the main focus of treatment, antibiotics play an important role in the management of cholangitis.
Primary Prevention
- There are no established measures for the primary prevention of cholangitis in otherwise healthy people.
- Treatment of gallstones, tumors, and infestations of parasites may reduce the risk for some people.
- Patients undergoing ERCP should have prophylactic antibiotics.
- Patients with compromised biliary systems prone to developing recurrent cholangitis may benefit from antibiotic maintenance therapy, given daily in lower-than-therapeutic dosages.[1]
- A metal or plastic stent within the bile system may be needed to prevent recurrence