DGI:Gynäkologische Infektionen/Endometritis/Therapie/Kalkulierte Therapie: Difference between revisions

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=== Kalkulierte Therapie ===
===Kalkulierte Therapie===
{| class="wikitable" style="box-sizing: inherit; border-collapse: collapse; border-spacing: 0px; background-color: rgb(248, 249, 250); font-size: 14px; color: rgb(34, 34, 34); margin: 1em 0px; border: 1px solid rgb(162, 169, 177); font-family: "Open Sans", Roboto, arial, sans-serif; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;"
{| class="wikitable" style="box-sizing: inherit; border-collapse: collapse; border-spacing: 0px; background-color: rgb(248, 249, 250); font-size: 14px; color: rgb(34, 34, 34); margin: 1em 0px; border: 1px solid rgb(162, 169, 177); font-family: "Open Sans", Roboto, arial, sans-serif; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;"
|+Endometritis (kalkuliert ohne Erregernachweis)
|+Endometritis (kalkuliert ohne Erregernachweis)
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{| class="wikitable" style="box-sizing: inherit; border-collapse: collapse; border-spacing: 0px; background-color: rgb(248, 249, 250); font-size: 14px; color: rgb(34, 34, 34); margin: 1em 0px; border: 1px solid rgb(162, 169, 177); font-family: &quot;Open Sans&quot;, Roboto, arial, sans-serif; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;"
{| class="wikitable" style="box-sizing: inherit; border-collapse: collapse; border-spacing: 0px; background-color: rgb(248, 249, 250); font-size: 14px; color: rgb(34, 34, 34); margin: 1em 0px; border: 1px solid rgb(162, 169, 177); font-family: &quot;Open Sans&quot;, Roboto, arial, sans-serif; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;"
|+Endometritis bei gesicherter Penicillin Allergie (kalkulierte Therapie ohne Erregernachweis)
|+ style="box-sizing: inherit; padding-top: 8px; padding-bottom: 8px; color: rgb(119, 119, 119); text-align: left; font-weight: bold;" |Endometritis bei gesicherter Penicillin Allergie (kalkulierte Therapie ohne Erregernachweis)
|- style="box-sizing: inherit;"
! style="background-color:rgb(234, 236, 240);text-align:center;box-sizing:inherit;padding:0.2em 0.4em;border:1px solid rgb(162, 169, 177);" |Klinische Situation
! style="background-color:rgb(234, 236, 240);text-align:center;box-sizing:inherit;padding:0.2em 0.4em;border:1px solid rgb(162, 169, 177);" |Klinische Situation
! style="background-color:rgb(234, 236, 240);text-align:center;box-sizing:inherit;padding:0.2em 0.4em;border:1px solid rgb(162, 169, 177);" |Präferenz
! style="background-color:rgb(234, 236, 240);text-align:center;box-sizing:inherit;padding:0.2em 0.4em;border:1px solid rgb(162, 169, 177);" |Präferenz
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! style="background-color:rgb(234, 236, 240);text-align:center;box-sizing:inherit;padding:0.2em 0.4em;border:1px solid rgb(162, 169, 177);" |Kommentar
! style="background-color:rgb(234, 236, 240);text-align:center;box-sizing:inherit;padding:0.2em 0.4em;border:1px solid rgb(162, 169, 177);" |Kommentar
|- style="box-sizing: inherit;"
|- style="box-sizing: inherit;"
| rowspan="3" style="box-sizing:inherit;padding:0.2em 0.4em;border:1px solid rgb(162, 169, 177);" |Stationäre Aufnahme
| rowspan="2" style="box-sizing:inherit;padding:0.2em 0.4em;border:1px solid rgb(162, 169, 177);" |Endometritis
| style="box-sizing:inherit;padding:0.2em 0.4em;border:1px solid rgb(162, 169, 177);" |Therapie der Wahl
| style="box-sizing:inherit;padding:0.2em 0.4em;border:1px solid rgb(162, 169, 177);" |Therapie der Wahl
| style="box-sizing:inherit;padding:0.2em 0.4em;border:1px solid rgb(162, 169, 177);" |Ceftriaxon iv
| style="box-sizing:inherit;padding:0.2em 0.4em;border:1px solid rgb(162, 169, 177);" |Levofloxacin iv
| style="box-sizing:inherit;padding:0.2em 0.4em;border:1px solid rgb(162, 169, 177);" |1 x 2 g
| style="box-sizing:inherit;padding:0.2em 0.4em;border:1px solid rgb(162, 169, 177);" |2 x 500 g
| style="box-sizing:inherit;padding:0.2em 0.4em;border:1px solid rgb(162, 169, 177);" |10 - 14 Tage
| style="box-sizing:inherit;padding:0.2em 0.4em;border:1px solid rgb(162, 169, 177);" |7 - 14 Tage
| style="box-sizing:inherit;padding:0.2em 0.4em;border:1px solid rgb(162, 169, 177);" |Oralisierung im Verlauf und nach Erregernachweis
| style="box-sizing:inherit;padding:0.2em 0.4em;border:1px solid rgb(162, 169, 177);" |
| style="box-sizing:inherit;padding:0.2em 0.4em;border:1px solid rgb(162, 169, 177);" |
| style="box-sizing:inherit;padding:0.2em 0.4em;border:1px solid rgb(162, 169, 177);" |Alternative:
Piperacillin/Tazobactam
3x 4,5g
ohne Kombination mit
Metronidazol
|- style="box-sizing: inherit;"
|- style="box-sizing: inherit;"
| style="box-sizing:inherit;padding:0.2em 0.4em;border:1px solid rgb(162, 169, 177);" |zusätzlich
| style="background-color:rgb(248, 249, 250);text-align:start;box-sizing:inherit;padding:0.2em 0.4em;border:1px solid rgb(162, 169, 177);color:rgb(34, 34, 34);font-family:&quot;Open Sans&quot;, Roboto, arial, sans-serif;font-size:14px;font-style:normal;font-variant-ligatures:normal;font-variant-caps:normal;font-weight:400;letter-spacing:normal;orphans:2;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;-webkit-text-stroke-width:0px;text-decoration-thickness:initial;text-decoration-style:initial;text-decoration-color:initial;" |zusätzlich
| style="box-sizing:inherit;padding:0.2em 0.4em;border:1px solid rgb(162, 169, 177);" |Doxycyclin po
| style="background-color:rgb(248, 249, 250);text-align:start;box-sizing:inherit;padding:0.2em 0.4em;border:1px solid rgb(162, 169, 177);color:rgb(34, 34, 34);font-family:&quot;Open Sans&quot;, Roboto, arial, sans-serif;font-size:14px;font-style:normal;font-variant-ligatures:normal;font-variant-caps:normal;font-weight:400;letter-spacing:normal;orphans:2;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;-webkit-text-stroke-width:0px;text-decoration-thickness:initial;text-decoration-style:initial;text-decoration-color:initial;" |Metronidazol iv/po
| style="box-sizing:inherit;padding:0.2em 0.4em;border:1px solid rgb(162, 169, 177);" |2 x 100 mg
| style="background-color:rgb(248, 249, 250);text-align:start;box-sizing:inherit;padding:0.2em 0.4em;border:1px solid rgb(162, 169, 177);color:rgb(34, 34, 34);font-family:&quot;Open Sans&quot;, Roboto, arial, sans-serif;font-size:14px;font-style:normal;font-variant-ligatures:normal;font-variant-caps:normal;font-weight:400;letter-spacing:normal;orphans:2;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;-webkit-text-stroke-width:0px;text-decoration-thickness:initial;text-decoration-style:initial;text-decoration-color:initial;" |2 x 500 mg
| style="box-sizing:inherit;padding:0.2em 0.4em;border:1px solid rgb(162, 169, 177);" |10 - 14 Tage
| style="background-color:rgb(248, 249, 250);text-align:start;box-sizing:inherit;padding:0.2em 0.4em;border:1px solid rgb(162, 169, 177);color:rgb(34, 34, 34);font-family:&quot;Open Sans&quot;, Roboto, arial, sans-serif;font-size:14px;font-style:normal;font-variant-ligatures:normal;font-variant-caps:normal;font-weight:400;letter-spacing:normal;orphans:2;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;-webkit-text-stroke-width:0px;text-decoration-thickness:initial;text-decoration-style:initial;text-decoration-color:initial;" |7 - 14 Tage
| style="box-sizing:inherit;padding:0.2em 0.4em;border:1px solid rgb(162, 169, 177);" |
| style="background-color:rgb(248, 249, 250);text-align:start;box-sizing:inherit;padding:0.2em 0.4em;border:1px solid rgb(162, 169, 177);color:rgb(34, 34, 34);font-family:&quot;Open Sans&quot;, Roboto, arial, sans-serif;font-size:14px;font-style:normal;font-variant-ligatures:normal;font-variant-caps:normal;font-weight:400;letter-spacing:normal;orphans:2;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;-webkit-text-stroke-width:0px;text-decoration-thickness:initial;text-decoration-style:initial;text-decoration-color:initial;" |Oralisierung im Verlauf und nach Erregernachweis
| style="box-sizing:inherit;padding:0.2em 0.4em;border:1px solid rgb(162, 169, 177);" |Alternative: Azithromycin 1g
|- style="box-sizing: inherit;"
| style="box-sizing:inherit;padding:0.2em 0.4em;border:1px solid rgb(162, 169, 177);" |zusätzlich
| style="box-sizing:inherit;padding:0.2em 0.4em;border:1px solid rgb(162, 169, 177);" |Metronidazol iv/po
| style="box-sizing:inherit;padding:0.2em 0.4em;border:1px solid rgb(162, 169, 177);" |1 x 500 mg
| style="box-sizing:inherit;padding:0.2em 0.4em;border:1px solid rgb(162, 169, 177);" |10 - 14 Tage
| style="box-sizing:inherit;padding:0.2em 0.4em;border:1px solid rgb(162, 169, 177);" |
|}
|}
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Latest revision as of 13:36, 18 January 2022

Kalkulierte Therapie

Endometritis (kalkuliert ohne Erregernachweis)
Klinische Situation Präferenz Substanz Dosierung Dauer Anpassungen Kommentar
Endometritis Therapie der Wahl Ceftriaxon iv 1 x 2 g 7 - 14 Tage Oralisierung im Verlauf und nach Erregernachweis
zusätzlich Doxycyclin po 2 x 100 mg 7 - 14 Tage Oralisierung im Verlauf und nach Erregernachweis Alternative: Azithromycin 1g
zusätzlich Metronidazol iv/po 1 x 500 mg 7 - 14 Tage Oralisierung im Verlauf und nach Erregernachweis


Endometritis bei gesicherter Penicillin Allergie (kalkulierte Therapie ohne Erregernachweis)
Klinische Situation Präferenz Substanz Dosierung Dauer Anpassungen Kommentar
Endometritis Therapie der Wahl Levofloxacin iv 2 x 500 g 7 - 14 Tage Oralisierung im Verlauf und nach Erregernachweis
zusätzlich Metronidazol iv/po 2 x 500 mg 7 - 14 Tage Oralisierung im Verlauf und nach Erregernachweis


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