Template:Epidural Abscess Treatment: Difference between revisions
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*Target [[Staphylococcus_Species|Stap]], [[Strep_Species|Strep]], and [[Gram_Negatives|Gram-negative bacilli]]<ref>Rigamonti D. et al. Spinal epidural abscess: contemporary trends in etiology, evaluation, and management. Surg Neurol 1999; 52:189-96</ref> | |||
*[[Vancomycin]] 15-20mg/kg BID + [[metronidazole]] 500g (7.5mg/kg) q6 hrs + ([[Cefotaxime]] or [[Ceftriaxone]] or [[Ceftazidime]]) | |||
***Can substitute [[ | **[[Ceftazidime]] is preferred if [[pseudomonas]] is considered likely | ||
***Can substitute [[Nafcillin]] or [[Oxacillin]] for [[Vancomycin]] if not [[MRSA]] | |||
**Treat for 6-8 weeks | **Treat for 6-8 weeks | ||
Revision as of 00:44, 7 April 2015
- Target Stap, Strep, and Gram-negative bacilli[1]
- Vancomycin 15-20mg/kg BID + metronidazole 500g (7.5mg/kg) q6 hrs + (Cefotaxime or Ceftriaxone or Ceftazidime)
- Ceftazidime is preferred if pseudomonas is considered likely
- Can substitute Nafcillin or Oxacillin for Vancomycin if not MRSA
- Treat for 6-8 weeks
- Ceftazidime is preferred if pseudomonas is considered likely
- ↑ Rigamonti D. et al. Spinal epidural abscess: contemporary trends in etiology, evaluation, and management. Surg Neurol 1999; 52:189-96