Longabces/pleuraempyeem
Advices
| Priority | Medication | Remarks |
|---|---|---|
|
Priority: 1st choice |
Medication: benzylpenicilline iv 1million. IU 6dd 2 to 6 weeks +
metronidazol iv 500mg 3dd minimum 2 weeks |
|
|
Priority: 2nd choice |
Medication: clindamycine iv 600mg 3dd 2 to 6 weeks or
clindamycine po 600mg 3dd 2 to 6 weeks |
| Priority | Medication | Remarks |
|---|---|---|
|
Priority: 1st choice |
Medication: flucloxacilline iv 6g continuous per 24 hours minimum 6 weeks |
|
|
Priority: 2nd choice |
Medication: clindamycine iv 600mg 3dd minimum 6 weeks or
clindamycine po 600mg 3dd minimum 6 weeks |
Remarks:
totale behandelduur 2-6 weken |
Sources
Antimicrobial resources
The following antimicrobial agents have been used in these recommendations:
- benzylpenicilline
- metronidazol
- clindamycine
- flucloxacilline
External antimicrobial resources
Menu position
Metadata
Swab vid: G-499702.2
Updated: 03/27/2025 - 17:39
Status: Published
General comments
Cave polyneuropathie bij gebruik van metronidazol > 2 weken; bij eerste tekenen stoppen.
Bij andere verwekkers uit punctiemateriaal, therapie aanpassen op geleide kweekresultaat en antibiogram
Afhankelijk van kliniek, gevoeligheid gekweekte verwekker en biologische beschikbaarheid van orale antibioticum, switch naar orale behandeling