Suppurative thrombophlebitis medical therapy: Difference between revisions
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Medical therapy of Suppurative thrombophlebitis aims to eliminate the source of infection, followed by antibiotic coverage for the detected pathogen. Surgical intervention, anticoagulation is considered after evaluation of the case. Empirical therapy is administered until the blood culture results detect the targeted pathogen. | Medical therapy of Suppurative thrombophlebitis aims to eliminate the source of infection, followed by antibiotic coverage for the detected pathogen. Surgical intervention, anticoagulation is considered after evaluation of the case. Empirical therapy is administered until the blood culture results detect the targeted pathogen. | ||
The role of anticoagulation is uncertain, and should not be routinely used, as there are no controlled studies to determine its role. It is tried when | The role of anticoagulation is uncertain, and should not be routinely used, as there are no controlled studies to determine its role. It is tried when extension of the thrombus is evident even with proper antibiotic use. | ||
===Peripheral Vein Suppurative Thrombophlebitis=== | ===Peripheral Vein Suppurative Thrombophlebitis=== |
Revision as of 20:54, 27 January 2014
Suppurative thrombophlebitis Microchapters |
Differentiating Suppurative thrombophlebitis from other Diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Medical Therapy
Overview
Medical therapy of Suppurative thrombophlebitis aims to eliminate the source of infection, followed by antibiotic coverage for the detected pathogen. Surgical intervention, anticoagulation is considered after evaluation of the case. Empirical therapy is administered until the blood culture results detect the targeted pathogen.
The role of anticoagulation is uncertain, and should not be routinely used, as there are no controlled studies to determine its role. It is tried when extension of the thrombus is evident even with proper antibiotic use.
Peripheral Vein Suppurative Thrombophlebitis
Till the blood culture results detect the targeted pathogen, empiric antibiotic therapy is given aiming to include an agent with activity against staphylococci plus an agent with activity against enterobacteriaceae.
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Jugular Vein Suppurative Thrombophlebitis
A beta-lactamase resistant beta-lactam antibiotic should be used in cases of jugular vein suppurative thrombophlebitis.
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Vena Cava Suppurative Thrombophlebitis
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