Diabetische voet
Advices
| Priority | Medication | Remarks |
|---|---|---|
|
Remarks:
optimale wondzorg, GEEN antibiotica |
| Priority | Medication | Remarks |
|---|---|---|
|
Medication: flucloxacilline po 500mg 4dd 7 to 14 days |
Remarks:
Indicatie: geen huidig antibioticagebruik |
|
|
Medication: amoxicilline + clavulaanzuur po 875/125mg 3dd 7 to 14 days |
Remarks:
Indicatie: Infectie ontwikkelt onder antibiotica |
|
|
Medication: cotrimoxazol (trimethoprim +sulfamethoxazol) po 7 to 14 days |
Remarks:
Indicatie: penicilline allergie OF MRSA drager |
| Priority | Medication | Remarks |
|---|---|---|
|
Medication: amoxicilline + clavulaanzuur iv 1000/200mg 4dd 14 to 21 days |
Remarks:
overweeg orale therapie na 5 dg iv |
|
|
Medication: cefuroxim iv 1500mg 3dd 14 to 21 days +
metronidazol po 500mg 3dd 14 to 21 days |
Remarks:
Indicatie: penicilline allergie |
| Priority | Medication | Remarks |
|---|---|---|
|
Medication: amoxicilline + clavulaanzuur iv 1000/200mg 4dd |
||
|
Medication: cefuroxim iv 1500mg 3dd +
metronidazol po 500mg 3dd |
Remarks:
Indicatie: penicilline allergie |
|
|
Medication: clindamycine po 600mg 3dd +
ciprofloxacine po 750mg 2dd |
Remarks:
Indicatie: orale optie na IV behandeling. Pas aan aan evt botkweken. Duur na OK: 2-5 dagen. Als persisterende weke delen infectie: 2-4 weken. Als incomplete debridement: 4-6 weken. |
| Priority | Medication | Remarks |
|---|---|---|
|
Medication: piperacilline/tazobactam iv 4000/500mg 3dd |
||
|
Medication: meropenem iv 1000mg 3dd |
Remarks:
Indicatie: bekende ESBL drager |
|
|
Medication: vancomycine iv continuous per 24 hours +
ceftazidim iv 1000mg 3dd |
Remarks:
Indicatie: penicilline allergie OF bekende MRSA drager |
Sources
-
2012 Diabetic Foot Infections Guideline.pdf
Clinical Practice Guideline for the Diagnosis and Treatment of Diabetic Foot Infections: Infectious Diseases Society of America, 2012
-
Antibiotic stewardship commissie HOH, chirurgen HOH. 2017
Antimicrobial resources
The following antimicrobial agents have been used in these recommendations:
External antimicrobial resources
Menu position
Metadata
Swab vid: G-394273.9
Updated: 09/04/2024 - 14:31
Status: Published
General comments
Behandeling van de diabetische voet vindt plaats in multidisciplinair verband.
Vancomycine dosering: zie 'overig' --> 'vancomycine continu dosering'
Stel altijd de PEDIS classificatie vast: