Sandbox g14
Epidural abscess
- Spinal epidural abscess[1]
- Empiric antimicrobial therapy
- Preferred regimen: Vancomycin 15 mg/kg IV q12h for 6 weeks AND Ceftriaxone 2 g Iv q24h for 6 weeks
- Note (1): Decompressive laminectomy in conjunction with long-term antibiotic therapy tailored to culture results is required.
- Note (2): For critically ill patients, a vancomycin loading dose of 20–25 mg/kg may be considered.
- Culture-directed antimicrobial therapy
- Penicillin-susceptible strain
- Preferred regimen: Penicillin G 4 MU IV q4h for 6 weeks
- Oxacillin-susceptible strain
- Preferred regimen: Oxacillin 2 g IV q4h for 6 weeks
Brain abscess
- Brain abscess, bacterial[2]
- Empiric antimicrobial therapy
- Preferred regimen: Vancomycin AND (Cefotaxime 2 g IV q4h OR Ceftriaxone 2 g IV q12h) AND (Metronidazole 7.5 mg/kg q6h or 15 mg/kg q12h)
- Brain abscess, tuberculous
- Brain abscess, fungal
References
- ↑ Kasper, Dennis (2015). Harrison's principles of internal medicine. New York: McGraw Hill Education. ISBN 978-0071802154.
- ↑ Bennett, John (2015). Mandell, Douglas, and Bennett's principles and practice of infectious diseases. Philadelphia, PA: Elsevier/Saunders. ISBN 978-1455748013.