Syndrome:  Peritonitis; intra-abdominal, intra-pelvic abscess

Primary Therapy(s):

  • Zosyn 3.375 gm q 6 hr
  • Gentamicin + metronidazole + ampicillin

Alternate Therapy(s):

  • Ceftriaxone + metronidazole
  • Ampicillin/sulbactam + gentamicin
  • Aztreonam + metronidazole + vancomycin

Comments:

  • Infection is often polymicrobic.
  • Gram negative rods and anaerobes are common etiologic agents.



Guideline Index         Guideline Table  

2nd generation cephalosporins--Cefuroxime, Cefpodoxime
Respiratory quionlones--Levofloxacin, Moxifloxacin