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. 2020 Mar 26:8:Doc13.
doi: 10.3205/id000057. eCollection 2020.

Calculated parenteral initial treatment of bacterial infections: Intra-abdominal infections

Christian Eckmann  1 , Rainer Isenmann  2 , Peter Kujath  3 , Annette Pross  4 , Arne C Rodloff  5 , Franz-Josef Schmitz  6
Affiliations

Calculated parenteral initial treatment of bacterial infections: Intra-abdominal infections

Christian Eckmann et al. GMS Infect Dis. .

Abstract
in English, German

This is the seventh chapter of the guideline "Calculated initial parenteral treatment of bacterial infections in adults - update 2018" in the 2nd updated version. The German guideline by the Paul-Ehrlich-Gesellschaft für Chemotherapie e.V. (PEG) has been translated to address an international audience. The chapter deals with the empirical and targeted antimicrobial therapy of complicated intra-abdominal infections. It includes recommendations for antibacterial and antifungal treatment.

Dies ist das siebte Kapitel der von der Paul-Ehrlich-Gesellschaft für Chemotherapie e.V. (PEG) herausgegebenen S2k Leitlinie „Kalkulierte parenterale Initialtherapie bakterieller Erkrankungen bei Erwachsenen – Update 2018“ in der 2. aktualisierten Fassung.Es behandelt die empirische und gezielte antimikrobielle Therapie komplizierter intraabdominaler Infektionen und enthält Empfehlungen für die antibakterielle und antimykotische Behandlung.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Table 1
Table 1. Therapy recommendations for the initial treatment of different forms of primary peritonitis
Table 2
Table 2. Calculated antibiotic treatment for intra-abdominal infection suspected of resistant pathogens
Table 3
Table 3. Evidence-based risk factors for the presence of multidrug-resistant pathogens (MDROs) in abdominal infections
Table 4
Table 4. Recommendations for the initial treatment of the different forms of secondary and tertiary peritonitis
Table 5
Table 5. Calculated antibiotic therapy for necrotizing pancreatitis and intra-abdominal mycoses
Table 6
Table 6. Matrix for the probability of detecting resistant pathogens in various forms of peritonitis (modified according to [23])
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