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fasciitis necroticans

Advices

≥ 18 years
Priority Medication Remarks
Medication:

benzylpenicilline iv 2million. IU 6dd

+

clindamycine iv 600mg 3dd

+

gentamicine iv 1dd

Remarks:

SWAB remarks

Onbekende verwekker

Medication:

amoxicilline + clavulaanzuur iv 1000/100mg 6dd minimum 7 days

+

gentamicine iv 1dd

Remarks:

SWAB remarks

Type 1 (Fournier)(aerobe en anaerobe mengflora, streptococ).

Evt. + clindamycine

Medication:

ceftriaxon iv 2000mg 1dd minimum 7 days

+

clindamycine iv 600mg 3dd minimum 7 days

+

gentamicine iv 1dd

Remarks:

SWAB remarks

Type 1 (Fournier)(aerobe en anaerobe mengflora, streptococ)

Medication:

benzylpenicilline iv 2million. IU 6dd minimum 7 days

+

clindamycine iv 600mg 3dd minimum 7 days

Remarks:

SWAB remarks

Type 2  (groep A streptokokken)

Overweeg iv immunoglobuline

Medication:

cefuroxim iv 1500mg 3dd minimum 7 days

+

clindamycine iv 600mg 3dd minimum 7 days

Remarks:

SWAB remarks

Type 2  (groep A streptokokken), niet IgE-gemedieerde penicilline-allergie.

Overweeg iv immunoglobuline

General comments

Gentamicine in principe gedurende 48u (zie ook "middelen" en "TDM"). Indien de verwekker na 2 doseringen gentamicine nog niet bekend is, overleggen met arts-microbioloog of A-team.

Sources

TDM Alert
Antimicrobial resources

The following antimicrobial agents have been used in these recommendations:

External antimicrobial resources
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Metadata

Swab vid: G-6761.3
Updated: 09/16/2024 - 12:33
Status: Published