Antimicrobial Use Guidelines (AMUG) version 21 - UW Health
Antimicrobial Use Guidelines (AMUG) version 21 - UW Health
Antimicrobial Use Guidelines (AMUG) version 21 - UW Health
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Appendix M: <strong>Guidelines</strong> for the Prophylaxis and Management ofIntraabdominal, Biliary, and Appendiceal InfectionsUniversity of Wisconsin Hospital and ClinicsIntraabdominal Infections – Prophylaxis and Management<strong>Guidelines</strong> developed by: Barry Fox, MDReviewed and approved by: Surgical QA Committee, <strong>Antimicrobial</strong> <strong>Use</strong>SubcommitteeApproved by P&T:Scheduled for ReviewA. BackgroundB. Surgical ProphylaxisC. Source ControlD. CategorizationE. Treatment by CategoryF. Cholangitis and CholecystitisG. Duration of therapyH. Necrotizing Pancreatitis________________________________________________________________A. BackgroundThis guideline is intended to provide evidence-based guidance for surgicalprophylaxis and the treatment of intraabdominal infections. It is based on the2009 revision of the Infectious Diseases Society of America/Surgical InfectionSociety update of their joint guideline. 1 The guideline is stratified according tothe severity of infection and risk of treatment failure, and antimicrobialrecommendations are targeted accordingly.B. Surgical ProphylaxisThe <strong>UW</strong>HC <strong>Antimicrobial</strong> <strong>Use</strong> <strong>Guidelines</strong> (<strong>AMUG</strong>) include a section on surgicalantimicrobial prophylaxis. 2 <strong>Use</strong> of the appropriate antimicrobial regimen for theappropriate duration is of paramount importance in gastrointestinal surgeries.Table 1 shows the prophylaxis regimens recommended in the <strong>AMUG</strong>.
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