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
References
- ↑ Kasper, Dennis (2015). Harrison's principles of internal medicine. New York: McGraw Hill Education. ISBN 978-0071802154.