- Blood cultures prior to administering antibiotics.
- Ascitic fluid culture.
exp date isn't null, but text field is
Seek Renal Unit advice. Their guidelines can be found here Edinburgh Renal Unit Antimicrobial Guidance.
Recommended Duration = 5 days (IV + oral)
Piperacillin-tazobactam 4.5g every 8 hours IV
Vancomycin (use NHS Lothian Calculator located on AMT intranet page) - target trough level 15-20mg/L
Ciprofloxacin 400mg every 12 hours IV (or 500mg every 12 hours orally)
See MHRA fluoroquinolone guidance here.
Piperacillin-tazobactam and ciprofloxacin are associated with C.diff infection. See here for risk factors for C.diff infection.
Suitable in penicillin-allergy
Co-trimoxazole 960mg every 12 hours orally
Co-amoxiclav 625mg every 8 hours orally
Suitable for those ≤ 65 years old. See prevention of Cdiff infection.
Likely organisms: Gram positive cocci and/or Gram negative coliforms.