Pyogenic liver abscess medical therapy

Liver abscess Main Page
Pyogenic liver abscess Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating pyogenic liver abscess from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
X Ray
CT
MRI
Ultrasound
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Pyogenic liver abscess medical therapy On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Pyogenic liver abscess medical therapy All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Pyogenic liver abscess medical therapy
CDC on Pyogenic liver abscess medical therapy
Pyogenic liver abscess medical therapy in the news
Blogs on Pyogenic liver abscess medical therapy
Directions to Hospitals Treating Type chapter name here
Risk calculators and risk factors for Pyogenic liver abscess medical therapy

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Yamuna Kondapally, M.B.B.S[2]

Treatment

Treatment of pyogenic liver abscess include:

Treatment

Non-surgical treatment

Open surgical drainage

Conservative management with antibiotics alone

Percutaneous drainage

Medical Therapy

Empiric antibiotic therapy based on culture and sensitivity include

First choice

• 1.Monotherapy

• Preferred regimen(1):Ampicillin-sulbactam 3 g IV every six hours
• Preferred regimen(2):Piperacillin-tazobactam 3.375 or 4.5 g IV every six hours
• Preferred regimen(3):Ticarcillin-clavulanate 3.1 g IV every four hours

• 2.Combination therapy

• Preferred regimen(1):Ceftriaxone 1 g IV every 24 hours or 2 g IV every 12 hours for CNS infection plus Metronidazole 500 mg IV every eight hours

Alternative Emperic Regimens

• 1.Combination therapy fluoroquinolone PLUS metronidazole

• Preferred regimen(1):Ciprofloxacin 400 mg IV every 12 hours or Levofloxacin 500 or 750 mg IV once daily Plus Metronidazole 500 mg IV every eight hours

• 2.Monotherapy

• Preferred regimen(1):Imipenem-cilastatin 500 mg IV every six hours
• Preferred regimen(2):Meropenem 1 g IV every eight hours
• Preferred regimen(3):Doripenem 500 mg IV every eight hours
• Preferred regimen(4):Ertapenem 1 g IV once daily