4.9 Pancreatitis
| Type of Infection | First Line (with Dosage and Duration) |
Alternative First Line (with dosage and Duration) |
Comments |
|---|---|---|---|
| Pancreatitis without infection | No antibiotics | Surgery opinion to be taken. | |
| Infected pancreatic necrosis, Infected pseudocyst | Piperacillin- tazobactam 4.5g IV q6h (To stop after 5- 7 days of source control initiation) | Imipenem- cilastatin 500mg IV q6h Or Meropenem 1g IV q8h (To stop after 5-7 days of source control initiation) | Surgery opinion to be taken Therapy to be adjusted as per the culture and sensitivity results from pancreatic aspirate or necrosectomy. Antifungal cover with fluconazole, or echinocandins like Caspofungin/ Micafungin may be added if risk factors for disseminated candidiasis are present. |
For common etiological agents of Pancreatitis, see Annexure B.4.9
References
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