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Tokyo Guidelines 2018: antimicrobial therapy for acute cholangitis and cholecystitis.
Gomi, Harumi; Solomkin, Joseph S; Schlossberg, David; Okamoto, Kohji; Takada, Tadahiro; Strasberg, Steven M; Ukai, Tomohiko; Endo, Itaru; Iwashita, Yukio; Hibi, Taizo; Pitt, Henry A; Matsunaga, Naohisa; Takamori, Yoriyuki; Umezawa, Akiko; Asai, Koji; Suzuki, Kenji; Han, Ho-Seong; Hwang, Tsann-Long; Mori, Yasuhisa; Yoon, Yoo-Seok; Huang, Wayne Shih-Wei; Belli, Giulio; Dervenis, Christos; Yokoe, Masamichi; Kiriyama, Seiki; Itoi, Takao; Jagannath, Palepu; Garden, O James; Miura, Fumihiko; de Santibañes, Eduardo; Shikata, Satoru; Noguchi, Yoshinori; Wada, Keita; Honda, Goro; Supe, Avinash Nivritti; Yoshida, Masahiro; Mayumi, Toshihiko; Gouma, Dirk J; Deziel, Daniel J; Liau, Kui-Hin; Chen, Miin-Fu; Liu, Keng-Hao; Su, Cheng-Hsi; Chan, Angus C W; Yoon, Dong-Sup; Choi, In-Seok; Jonas, Eduard; Chen, Xiao-Ping; Fan, Sheung Tat; Ker, Chen-Guo.
Afiliación
  • Gomi H; Center for Global Health, Mito Kyodo General Hospital, University of Tsukuba, Ibaraki, Japan.
  • Solomkin JS; Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
  • Schlossberg D; Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA.
  • Okamoto K; Department of Surgery, Center for Gastroenterology and Liver Disease, Kitakyushu City Yahata Hospital, Fukuoka, Japan.
  • Takada T; Department of Surgery, Teikyo University, School of Medicine, Tokyo, Japan.
  • Strasberg SM; Section of HPB Surgery, Washington University in St. Louis, St. Louis, MO, USA.
  • Ukai T; Department of Family Medicine, Mie Prefectural Ichishi Hospital, Mie, Japan.
  • Endo I; Department of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine, Kanagawa, Japan.
  • Iwashita Y; Department of Gastroenterological and Pediatric Surgery, Oita University, Faculty of Medicine, Oita, Japan.
  • Hibi T; Department of Surgery, Keio University School of Medicine, Tokyo, Japan.
  • Pitt HA; Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA.
  • Matsunaga N; Department of Infection Control and Prevention, Teikyo University, Tokyo, Japan.
  • Takamori Y; Department of Internal Medicine, Teikyo University School of Medicine, Tokyo, Japan.
  • Umezawa A; Minimally Invasive Surgery Center, Yotsuya Medical Cube, Tokyo, Japan.
  • Asai K; Department of Surgery, Toho University Ohashi Medical Center, Tokyo, Japan.
  • Suzuki K; Department of Surgery, Fujinomiya City General Hospital, Shizuoka, Japan.
  • Han HS; Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seoul, Korea.
  • Hwang TL; Division of General Surgery, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan.
  • Mori Y; Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
  • Yoon YS; Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seoul, Korea.
  • Huang WS; Department of Surgery, Show Chwan Memorial Hospital, Changhua, Taiwan.
  • Belli G; Department of General and HPB Surgery, Loreto Nuovo Hospital, Naples, Italy.
  • Dervenis C; First Department of Surgery, Agia Olga Hospital, Athens, Greece.
  • Yokoe M; Department of General Internal Medicine, Japanese Red Cross Nagoya Daini Hospital, Aichi, Japan.
  • Kiriyama S; Department of Gastroenterology, Ogaki Municipal Hospital, Gifu, Japan.
  • Itoi T; Department of Gastroenterology and Hepatology, Tokyo Medical University Hospital, Tokyo, Japan.
  • Jagannath P; Department of Surgical Oncology, Lilavati Hospital and Research Centre, Mumbai, India.
  • Garden OJ; Clinical Surgery, University of Edinburgh, Edinburgh, UK.
  • Miura F; Department of Surgery, Teikyo University, School of Medicine, Tokyo, Japan.
  • de Santibañes E; Department of Surgery, Hospital Italiano, University of Buenos Aires, Buenos Aires, Argentina.
  • Shikata S; Mie Prefectural Ichishi Hospital, Mie, Japan.
  • Noguchi Y; Department of General Internal Medicine, Japanese Red Cross Nagoya Daini Hospital, Aichi, Japan.
  • Wada K; Department of Surgery, Teikyo University, School of Medicine, Tokyo, Japan.
  • Honda G; Department of Surgery, Tokyo Metropolitan Komagome Hospital, Tokyo, Japan.
  • Supe AN; Department of Surgical Gastroenterology, Seth G S Medical College and K E M Hospital, Mumbai, India.
  • Yoshida M; Department of Hemodialysis and Surgery, Ichikawa Hospital, International University of Health and Welfare, Chiba, Japan.
  • Mayumi T; Department of EBM and Guidelines, Japan Council for Quality Health Care, Tokyo, Japan.
  • Gouma DJ; Department of Emergency Medicine, School of Medicine University of Occupational and Environmental Health, Fukuoka, Japan.
  • Deziel DJ; Department of Surgery, Academic Medical Center, Amsterdam, The Netherlands.
  • Liau KH; Department of Surgery, Rush University Medical Center, Chicago, IL, USA.
  • Chen MF; Liau KH Consulting PL, Mt Elizabeth Novena Hospital, Singapore, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
  • Liu KH; Division of General Surgery, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan.
  • Su CH; Division of General Surgery, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan.
  • Chan ACW; Department of Surgery, Cheng Hsin General Hospital, Taipei, Taiwan.
  • Yoon DS; Surgery Centre, Department of Surgery, Hong Kong Sanatorium and Hospital, Hong Kong, Hong Kong.
  • Choi IS; Department of Surgery, Yonsei University Gangnam Severance Hospital, Seoul, Korea.
  • Jonas E; Department of Surgery, Konyang University Hospital, Daejeon, Korea.
  • Chen XP; Surgical Gastroenterology/Hepatopancreatobiliary Unit, University of Cape Town and Groote Schuur Hospital, Cape Town, South Africa.
  • Fan ST; Hepatic Surgery Centre, Department of Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
  • Ker CG; Liver Surgery Centre, Hong Kong Sanatorium and Hospital, Hong Kong, Hong Kong.
J Hepatobiliary Pancreat Sci ; 25(1): 3-16, 2018 Jan.
Article en En | MEDLINE | ID: mdl-29090866
ABSTRACT
Antimicrobial therapy is a mainstay of the management for patients with acute cholangitis and/or cholecystitis. The Tokyo Guidelines 2018 (TG18) provides recommendations for the appropriate use of antimicrobials for community-acquired and healthcare-associated infections. The listed agents are for empirical therapy provided before the infecting isolates are identified. Antimicrobial agents are listed by class-definitions and TG18 severity grade I, II, and III subcategorized by clinical settings. In the era of emerging and increasing antimicrobial resistance, monitoring and updating local antibiograms is underscored. Prudent antimicrobial usage and early de-escalation or termination of antimicrobial therapy are now important parts of decision-making. What is new in TG18 is that the duration of antimicrobial therapy for both acute cholangitis and cholecystitis is systematically reviewed. Prophylactic antimicrobial usage for elective endoscopic retrograde cholangiopancreatography is no longer recommended and the section was deleted in TG18. Free full articles and mobile app of TG18 are available at http//www.jshbps.jp/modules/en/index.php?content_id=47. Related clinical questions and references are also included.
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Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Colangitis / Colangiopancreatografia Retrógrada Endoscópica / Guías de Práctica Clínica como Asunto / Colecistitis Aguda / Antibacterianos Tipo de estudio: Diagnostic_studies / Guideline / Prognostic_studies Límite: Female / Humans / Male País/Región como asunto: Asia Idioma: En Revista: J Hepatobiliary Pancreat Sci Año: 2018 Tipo del documento: Article País de afiliación: Japón

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Colangitis / Colangiopancreatografia Retrógrada Endoscópica / Guías de Práctica Clínica como Asunto / Colecistitis Aguda / Antibacterianos Tipo de estudio: Diagnostic_studies / Guideline / Prognostic_studies Límite: Female / Humans / Male País/Región como asunto: Asia Idioma: En Revista: J Hepatobiliary Pancreat Sci Año: 2018 Tipo del documento: Article País de afiliación: Japón