Antimicrobial therapy for acute cholecystitis: Tokyo Guidelines View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2007-01-30

AUTHORS

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

ABSTRACT

Acute cholecystitis consists of various morbid conditions, ranging from mild cases that are relieved by the oral administration of antimicrobial drugs or that resolve even without antimicrobials to severe cases complicated by biliary peritonitis. Microbial cultures should be performed by collecting bile at all available opportunities to identify both aerobic and anaerobic organisms. Empirically selected antimicrobials should be administered. Antimicrobial activity against potential causative organisms, the severity of the cholecystitis, the patient's past history of antimicrobial therapy, and local susceptibility patterns (antibiogram) must be taken into consideration in the choice of antimicrobial drugs. In mild cases which closely mimic biliary colic, the administration of nonsteroidal anti-inflammatory drugs (NSAIDs) is recommended to prevent the progression of inflammation (recommendation grade A). When causative organisms are identified, the antimicrobial drug should be changed for a narrower-spectrum antimicrobial agent on the basis of the species and their susceptibility testing results. More... »

PAGES

83-90

References to SciGraph publications

Journal

Author Affiliations

  • Department of Surgery Teikyo University School of Medicine Tokyo Japan
  • Mie University School of Medicine Mie Japan
  • Department of Medicine Teikyo University School of Medicine Tokyo Japan
  • Division of Surgical Oncology, Department of Surgery Nagoya University Graduate School of Medicine Nagoya Japan
  • Division of Infection Control and Prevention Jichi Medical University Hospital Tochigi Japan
  • Department of Gastroenterological Surgery Kumamoto University Graduate School of Medical Science Kumamoto Japan
  • Department of Emergency Medicine and Critical Care Nagoya University School of Medicine Nagoya Japan
  • Department of Surgery, Division of Trauma and Critical Care University of Cincinnati College of Medicine Cincinnati USA
  • Department of Surgery Washington University in St Louis and Barnes‐Jewish Hospital St Louis USA
  • Department of Surgery Indiana University School of Medicine Indianapolis USA
  • Department of Digestive Surgery and Transplantation Hospital Beaujon Clichy France
  • Department of Surgery University of Buenos Aires Buenos Aires Argentina
  • Department of Surgery The University of Hong Kong Hong Kong China
  • Department of Surgery Chang Gung Memorial Hospital, Chang Gung University Taoyuan Taiwan
  • Department of General and HPB Surgery Loreto Nuovo Hospital Naples Italy
  • Department of Surgery Philippine General Hospital, University of the Philippines Manila Philippines
  • Department of Surgery Seoul National University College of Medicine Seoul Korea
  • Division of HPB Surgery Yuan's General Hospital Taoyuan Taiwan
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00534-006-1160-y

    DOI

    http://dx.doi.org/10.1007/s00534-006-1160-y

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1004861762

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/17252301


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