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Article: Antimicrobial therapy for acute cholecystitis: Tokyo Guidelines

TitleAntimicrobial therapy for acute cholecystitis: Tokyo Guidelines
Authors
KeywordsAcute cholecystitis
Anti-infective agents
Biliary
Guidelines
Infection
Issue Date2007
PublisherSpringer Japan. The Journal's web site is located at http://link.springer.de/link/service/journals/00534/index.htm
Citation
Journal Of Hepato-Biliary-Pancreatic Surgery, 2007, v. 14 n. 1, p. 83-90 How to Cite?
AbstractAcute 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. © Springer-Verlag Tokyo 2007.
Persistent Identifierhttp://hdl.handle.net/10722/84203
ISSN
2009 Impact Factor: 1.601
PubMed Central ID
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorYoshida, Men_HK
dc.contributor.authorTakada, Ten_HK
dc.contributor.authorKawarada, Yen_HK
dc.contributor.authorTanaka, Aen_HK
dc.contributor.authorNimura, Yen_HK
dc.contributor.authorGomi, Hen_HK
dc.contributor.authorHirota, Men_HK
dc.contributor.authorMiura, Fen_HK
dc.contributor.authorWada, Ken_HK
dc.contributor.authorMayumi, Ten_HK
dc.contributor.authorSolomkin, JSen_HK
dc.contributor.authorStrasberg, Sen_HK
dc.contributor.authorPitt, HAen_HK
dc.contributor.authorBelghiti, Jen_HK
dc.contributor.authorde Santibanes, Een_HK
dc.contributor.authorFan, STen_HK
dc.contributor.authorChen, MFen_HK
dc.contributor.authorBelli, Gen_HK
dc.contributor.authorHilvano, SCen_HK
dc.contributor.authorKim, SWen_HK
dc.contributor.authorKer, CGen_HK
dc.date.accessioned2010-09-06T08:50:10Z-
dc.date.available2010-09-06T08:50:10Z-
dc.date.issued2007en_HK
dc.identifier.citationJournal Of Hepato-Biliary-Pancreatic Surgery, 2007, v. 14 n. 1, p. 83-90en_HK
dc.identifier.issn0944-1166en_HK
dc.identifier.urihttp://hdl.handle.net/10722/84203-
dc.description.abstractAcute 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. © Springer-Verlag Tokyo 2007.en_HK
dc.languageengen_HK
dc.publisherSpringer Japan. The Journal's web site is located at http://link.springer.de/link/service/journals/00534/index.htmen_HK
dc.relation.ispartofJournal of Hepato-Biliary-Pancreatic Surgeryen_HK
dc.subjectAcute cholecystitisen_HK
dc.subjectAnti-infective agentsen_HK
dc.subjectBiliaryen_HK
dc.subjectGuidelinesen_HK
dc.subjectInfectionen_HK
dc.titleAntimicrobial therapy for acute cholecystitis: Tokyo Guidelinesen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0944-1166&volume=14&issue=1&spage=83&epage=90&date=2007&atitle=Antimicrobial+therapy+for+acute+cholecystitis:+Tokyo+Guidelinesen_HK
dc.identifier.emailFan, ST: stfan@hku.hken_HK
dc.identifier.authorityFan, ST=rp00355en_HK
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1007/s00534-006-1160-yen_HK
dc.identifier.pmid17252301-
dc.identifier.pmcidPMC2784497-
dc.identifier.scopuseid_2-s2.0-33846667837en_HK
dc.identifier.hkuros126075en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-33846667837&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume14en_HK
dc.identifier.issue1en_HK
dc.identifier.spage83en_HK
dc.identifier.epage90en_HK
dc.identifier.isiWOS:000245342900018-
dc.publisher.placeJapanen_HK
dc.identifier.scopusauthoridYoshida, M=14421962900en_HK
dc.identifier.scopusauthoridTakada, T=7202751961en_HK
dc.identifier.scopusauthoridKawarada, Y=7102270197en_HK
dc.identifier.scopusauthoridTanaka, A=7404667690en_HK
dc.identifier.scopusauthoridNimura, Y=7201351672en_HK
dc.identifier.scopusauthoridGomi, H=15836576100en_HK
dc.identifier.scopusauthoridHirota, M=7201993802en_HK
dc.identifier.scopusauthoridMiura, F=35475649700en_HK
dc.identifier.scopusauthoridWada, K=8973796100en_HK
dc.identifier.scopusauthoridMayumi, T=7102413301en_HK
dc.identifier.scopusauthoridSolomkin, JS=7006149016en_HK
dc.identifier.scopusauthoridStrasberg, S=7101931401en_HK
dc.identifier.scopusauthoridPitt, HA=7103213587en_HK
dc.identifier.scopusauthoridBelghiti, J=35403099400en_HK
dc.identifier.scopusauthoridde Santibanes, E=15057704700en_HK
dc.identifier.scopusauthoridFan, ST=7402678224en_HK
dc.identifier.scopusauthoridChen, MF=34874546600en_HK
dc.identifier.scopusauthoridBelli, G=7004998933en_HK
dc.identifier.scopusauthoridHilvano, SC=6603194000en_HK
dc.identifier.scopusauthoridKim, SW=36063168700en_HK
dc.identifier.scopusauthoridKer, CG=7005769410en_HK
dc.identifier.citeulike1100213-

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