Urosepsis, treatment

Treatment of urosepsis according to SWAB and our local hospital guidelines.

SWAB:

  1. amoxicillin 1000 mg 4 dd iv + aminoglycoside 1 dd iv; at least 10 days
  2. cefuroxim 750 mg 3 dd of cefotaxim 1000 mg 4 dd or ceftriaxon 2000 mg 1 dd iv; for at least 10 days
  3. amoxicillin-clavulanate 1200 mg 4 dd iv; for at least 10 days (2nd choice)

local guideline:

  • urology: ceftriaxon (1 dd 2 g iv) for 2 weeks
  • gynecology: amoxicillin-clavulanate (6 dd 1100 mg iv)

local guideline pediatric:

  • <2 months
    • amoxycillin-clavulanate + gentamycin 10-14 days
    • cefotaxim 10-14 days
  • >2 months
    • amoxycillin-clavulanate + gentamycin 10-14 days
    • ceftriaxon 10-14 days

Expected pathogens

  • community acquired
    • E. coli
    • Proteus mirabilis
  • hospital acquired
    • E. coli
    • Proteus
    • Klebsiella
    • Enterobacter
    • Pseudomonas

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Related posts:

  1. Sepsis, abdominal focus, treatment
  2. Sepsis, focus in respiratory tract, treatment
  3. Sepsis, focus in skin/soft tissue, treatment
  4. Osteomyelitis
  5. Pneumonia
  6. Meningitis – acute
  7. Arthritis
  8. Otitis externa
  9. Cellulitis
  10. Infective Endocarditis – bacterial

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