Cholangitis primary prevention: Difference between revisions

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* Patients undergoing [[ERCP]] should have prophylactic antibiotics.
* 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="urlAscending cholangitis Prevention - Epocrates Online">{{cite web |url=https://online.epocrates.com/diseases/34544/Ascending-cholangitis/Prevention |title=Ascending cholangitis Prevention - Epocrates Online |format= |work= |accessdate=}}</ref>
**A metal or plastic [[stent]] within the bile system after the procedures involving drainage of the biliary tree, may be needed to prevent recurrence.<ref name="pmid34544">{{cite journal |vauthors=Butler SJ, Landon M |title=Transglutaminase-catalysed labelling of cytochrome c and cytochrome c oxidase [proceedings] |journal=Biochem. Soc. Trans. |volume=7 |issue=2 |pages=397–8 |year=1979 |pmid=34544 |doi= |url=}}</ref>


==References==
==References==

Revision as of 21:09, 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]

References

  1. "Ascending cholangitis Prevention - Epocrates Online".


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