Antimicrobial prescribing: NHS Forth Valley
Important: Therapy
Amoxicillin IV + gentamicin IV + metronidazole IV for 3-7 days
Switch to co-amoxiclav PO to complete 7 day course when clinically improved
Appendicitis, Peritonitis, Post-op appendicectomy infection, Penetrating abdominal wound
Micro Organisms
Coliforms
Anaerobes
Important: Therapy
Vancomycin IV + gentamicin IV + metronidazole IV for 3-7 days
Switch to oral alternative to complete 7 day course when clinically improved
Notes:
Important: Notes
Send blood for culture - if possible 2 sets and pus from operation
Please note - antibiotic surgical prophylaxis for appendicitis should be single dose at induction, unless already on treatment
Consider tetanus vaccine for penetrating abdominal wound