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Thursday, March 5, 2015

Is antibiotic needed in Chronic Cholecystitis?


  • There are no guidelines stating the use of antibiotic as treatment for chronic cholecystitis
  • Antibiotics are frequently administered in acute cholecystitis for preoperative prophylaxis or postoperative treatment. The optimal timing, choice, and duration of antibiotics are unclear 
  • Antibiotic prophylaxis can be given for patients 2 hours before the surgery.
Examples of recommended antibiotics for prophylaxis are:
  • Cefazolin 1g IV single dose
  • Cefuroxime 1.5g IV single dose
  • Gentamicin 80mg IV single dose
References
1. http://pcs.org.ph/wp-content/uploads/2010/10/ebcpg_chole.pdf
2. http://www.drugs.com/health-guide/cholecystitis.html

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