BRAIN ABSCESS

Explore effective treatment strategies for brain abscess and its unknown sources of infection. Learn about appropriate antibiotic choices based on patient allergies, including options for those allergic to penicillin.

2023-12-20 09:47:40 - Editor

Unknown Sources of Infection:

Think of Staph Aureus, Streptococcus Pneumoniae, Gram Negative organisms

Vancomycin 1 gm IV q 12 h

Ceftriaxone 2 gm IV g 12h

Metronidazole 500 mg IV q6h

Vancomycin 1 gm IV q 12h

Ciprofloxacin 400mg iv q 8h

Metronidazole 500 mg IV q 6h

Associated Sinusitis

Think of Streptococcus Pneumoniae

Ceftriaxone

Metronidazole

Vancomycin

Metronidazole

Associated Otitis / Mastoiditis

Think of Streptococcus, Gram negatives, and Anaerobes

Cefepime 2 gm IV q 8h

Metronidazole

Vancomycin

Aztreonam 2 gm IV q 6h

Metronidazole

If a recent history of Neurosurgical procedure

If patient is not allergic to Penicillin

Vancomycin

Cefepime

Vancomycin

Ciprofloxacin

If patient has cyanotic heart disease

Think of Streptococcus Viridans

Ceftriaxone

Vancomycin

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