What are the Surgical Infection Society and the Infectious Diseases Society of America guidelines for antimicrobial therapy in biliary colic and acute cholecystitis?

Updated: Jan 18, 2017
  • Author: Peter A D Steel, MBBS, MA; Chief Editor: Barry E Brenner, MD, PhD, FACEP  more...
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Answer

Answer

Guidelines from the Surgical Infection Society and the Infectious Diseases Society of America on the management of intra-abdominal infection recommend that antimicrobial therapy be instituted when infection is suspected and the patient has either acute cholecystitis or cholangitis. The guidelines also state that in patients undergoing cholecystectomy for acute cholecystitis, antimicrobial therapy should be discontinued within 24 hours of surgery unless infection outside the gallbladder wall is suspected. [23, 24]

Antibiotics are also recommended for routine use in patients who are elderly or have diabetes or immunodeficiency and for prophylaxis in patients undergoing cholecystectomy to reduce septic complications even when infection is not suspected. [2]


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