Skip to main content

fasciitis necroticans

Advices

≥ 18 years

Indications: Empirische behandeling

Priority Medication Remarks
Medication:

benzylpenicilline iv 12million. IU 1 continuous per 24 hours

+

clindamycine iv 600mg 3dd

+

tobramycine iv 5mg/kg 1dd 1 day

Remarks:

Onbekende verwekker

≥ 18 years

Indications: Empirische behandeling bij verdenking Fournier

Priority Medication Remarks
Priority:
1st choice
Medication:

amoxicilline + clavulaanzuur iv 1000/200mg 3dd

+

amoxicilline iv 1000mg 3dd

+

tobramycine iv 5mg/kg 1dd 1 day

Remarks:

clindamycine iv 600mg 3 dd optioneel toevoegen

Priority:
2nd choice
Medication:

meropenem iv 1000mg 3dd

Remarks:

clindamycine iv 600mg 3 dd optioneel toevoegen

≥ 18 years

Indications: Bij bewezen groep A streptokok

Priority Medication Remarks
Medication:

benzylpenicilline iv 12million. IU continuous per 24 hours

Remarks:

clindamycine iv 600mg 3 dd optioneel toevoegen

overweeg gammaglobuline iv

General comments

Gammaglobuline: eerste dag 1 g/kg, dag 2 en 3 0,5 g/kg, totaal 3 dagen.

Gezinscontacten meebehandelen en andere nauwe contacten controleren (zie LCI-richtlijn: Groep A-streptokokkeninfectie [GAS]).

Sources

Antimicrobial resources

The following antimicrobial agents have been used in these recommendations:

External antimicrobial resources
Menu position
Metadata

Swab vid: G-500144.2
Updated: 09/30/2021 - 14:04
Status: Published