Pyogenic liver abscess medical therapy: Difference between revisions

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:*Preferred regimen(3):[[Ticarcillin]]-[[clavulanate]] 3.1 g IV every four hours
:*Preferred regimen(3):[[Ticarcillin]]-[[clavulanate]] 3.1 g IV every four hours
*2.Combination therapy
*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
:*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'''
'''Alternative Emperic Regimens'''

Revision as of 21:44, 1 March 2017

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

Overview

Treatment of pyogenic liver abscess include non-surgical treatment and open surgical drainage. Non-surgical treatment treatment includes conservative management with antibiotics alone and percutaneous drainage.[1]

Treatment

Treatment of pyogenic liver abscess include:[1]

 
 
 
 
 
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:[2][3]

First choice

  • 1.Monotherapy
  • 2.Combination therapy

Alternative Emperic Regimens

  • 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

References

  1. 1.0 1.1 Malik AA, Bari SU, Rouf KA, Wani KA (2010). "Pyogenic liver abscess: Changing patterns in approach". World J Gastrointest Surg. 2 (12): 395–401. doi:10.4240/wjgs.v2.i12.395. PMC 3014521. PMID 21206721.
  2. Chen YW, Chen YS, Lee SS, Yen MY, Wann SR, Lin HH; et al. (2002). "A pilot study of oral fleroxacin once daily compared with conventional therapy in patients with pyogenic liver abscess". J Microbiol Immunol Infect. 35 (3): 179–83. PMID 12380791.
  3. Yu SC, Ho SS, Lau WY, Yeung DT, Yuen EH, Lee PS; et al. (2004). "Treatment of pyogenic liver abscess: prospective randomized comparison of catheter drainage and needle aspiration". Hepatology. 39 (4): 932–8. doi:10.1002/hep.20133. PMID 15057896.