Antimicrobial therapy for acute cholangitis: Tokyo Guidelines View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2007-01-30

AUTHORS

Atsushi Tanaka, Tadahiro Takada, Yoshifumi Kawarada, Yuji Nimura, Masahiro Yoshida, Fumihiko Miura, Masahiko Hirota, Keita Wada, Toshihiko Mayumi, Harumi Gomi, Joseph S. Solomkin, Steven M. Strasberg, Henry A. Pitt, Jacques Belghiti, Eduardo de Santibanes, Robert Padbury, Miin-Fu Chen, Giulio Belli, Chen-Guo Ker, Serafin C. Hilvano, Sheung-Tat Fan, Kui-Hin Liau

ABSTRACT

Antimicrobial agents should be administered to all patients with suspected acute cholangitis as a priority as soon as possible. Bile cultures should be performed at the earliest opportunity. The important factors which should be considered in selecting antimicrobial therapy include the agent's activity against potentially infecting bacteria, the severity of the cholangitis, the presence or absence of renal and hepatic diseases, the patient's recent history of antimicrobial therapy, and any recent culture results, if available. Biliary penetration of the microbial agents should also be considered in the selection of antimicrobials, but activity against the infecting isolates is of greatest importance. If the causative organisms are identified, empirically chosen antimicrobial drugs should be replaced by narrower-spectrum antimicrobial agents, the most appropriate for the species and the site of the infection. More... »

PAGES

59-67

References to SciGraph publications

Journal

Author Affiliations

  • Department of Medicine, Teikyo University School of Medicine, 2-11-1, Kaga, Itabashi-ku, Tokyo, 173-8605 Japan
  • Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan
  • Mie University School of Medicine, Mie, Japan
  • Division of Surgical Oncology, Department of Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan
  • Department of Gastroenterological Surgery, Kumamoto University Graduate School of Medical Science, Kumamoto, Japan
  • Department of Emergency Medicine and Intensive Care, Nagoya University School of Medicine, Nagoya, Japan
  • Division of Infection Control and Prevention, Jichi Medical University Hospital, Tochigi, Japan
  • Department of Surgery, Division of Trauma and Critical Care, University of Cincinnati College of Medicine, Cincinnati, USA
  • Washington University in St Louis and Barnes-Jewish Hospital, St Louis, USA
  • Department of Surgery, Indiana University School of Medicine, Indianapolis, USA
  • Hepatobiliopancreatic Surgery and Liver Transplantation, Hospital Beaujon, Clichy, France
  • Department of Surgery, University of Buenos Aires, Buenos Aires, Argentina
  • Division of Surgical and Specialty Services, Flinders Medical Centre, Adelaide, Australia
  • Department of Surgery, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan
  • General and HPB Surgery, Loreto Nuovo Hospital, Naples, Italy
  • Division of HPB Surgery, Yuan’s General Hospital, Taoyuan, Taiwan
  • Department of Surgery, Philippine General Hospital, University of the Philippines, Manila, Philippines
  • Department of Surgery, The University of Hong Kong, Pokfulam Hong Kong, China
  • Department of Surgery, Tan Tock Seng Hospital / Hepatobiliary Surgery, Medical Centre, Singapore, Singapore
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00534-006-1157-6

    DOI

    http://dx.doi.org/10.1007/s00534-006-1157-6

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1044778993

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/17252298


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    RDF/XML is a standard XML format for linked data.

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