Appendicitis - met chirurgie
Advices
| Priority | Medication | Remarks |
|---|---|---|
|
Priority: 1st choice |
Remarks:
Bij primair chirurgische behandeling geen antibiotica bij ongecompliceerde appendicitis. |
|
|
Priority: 1st choice alternative |
Medication: Ceftriaxon iv 2000mg 1dd +
Metronidazol iv 500mg 3dd |
Remarks:
Bij perforatie of gangreneuze appendicitis. Eventueel iv-orale switch na 48 uur. |
|
Priority: 1st choice alternative |
Medication: Cotrimoxazol (sulfamethoxazol + trimethoprim) po 960mg 2dd +
Metronidazol po 500mg 3dd |
Remarks:
Orale alternatieven |
|
Priority: 2nd choice alternative |
Medication: Ciprofloxacine po 500mg 2dd +
Metronidazol po 500mg 3dd |
Remarks:
Orale alternatieven |
Sources
-
Pubmed.gov publication # 36669519
2 days versus 5 days of postoperative antibiotics for complex appendicitis: a pragmatic, open-label, multicentre, non-inferiority randomised trial
Antimicrobial resources
The following antimicrobial agents have been used in these recommendations:
External antimicrobial resources
Menu position
Metadata
Swab vid: G-462537.6
Updated: 01/31/2025 - 17:10
Status: Published
General comments
2 dagen postoperatieve (intraveneuze) antibiotica bij complexe appendicitis is niet minder effectief dan 5 dagen. Behandel alleen kritiek zieke patiënten 5 dagen postoperatief.