Template:Epidural Abscess Treatment: Difference between revisions
No edit summary |
No edit summary |
||
| Line 3: | Line 3: | ||
*[[Vancomycin]] 15-20mg/kg BID + [[metronidazole]] 500g (7.5mg/kg) q6 hrs + ([[Cefotaxime]] or [[Ceftriaxone]] or [[Ceftazidime]]) | *[[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 | **[[Ceftazidime]] is preferred if [[pseudomonas]] is considered likely | ||
**Can substitute [[Nafcillin]] or [[Oxacillin]] for [[Vancomycin]] if not [[MRSA]] | |||
''Treat for 6-8 weeks'' | |||
Revision as of 00:45, 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
- ↑ Rigamonti D. et al. Spinal epidural abscess: contemporary trends in etiology, evaluation, and management. Surg Neurol 1999; 52:189-96