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Intra-uteriene infecties

Advices

≥ 18 years

Indications: chorioammionitis incl. koorts durante partu

Priority Medication Remarks
Priority:
1st choice
Medication:

amoxicilline + clavulaanzuur iv 1000/200mg 4dd

Priority:
1st choice alternative
Medication:

amoxicilline + clavulaanzuur iv 1000/200mg 4dd

+

gentamicine iv 5mg/kg/max. 400mg/24h

Priority:
2nd choice
Medication:

ceftriaxon iv 2000mg 1dd

+

metronidazol iv 500mg 3dd

Remarks:

Metronidazol niet in het 1e trimester; alternatief clindamycine 3 d 600 mg iv/po

General comments

stoppen na de partus tenzij koorts aanhoudt, dan behandelen als sepsis.

Indien gentamicine langer dan 3 dagen wordt toegediend, spiegelcontrole vanaf dag 2

Antimicrobial resources

The following antimicrobial agents have been used in these recommendations:

  • amoxicilline + clavulaanzuur
  • gentamicine
  • ceftriaxon
  • metronidazol
External antimicrobial resources
Menu position
Metadata

Swab vid: G-499625.1
Updated: 09/12/2020 - 17:39
Status: Published