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Article: Antimicrobial therapy for acute cholangitis: Tokyo Guidelines

TitleAntimicrobial therapy for acute cholangitis: Tokyo Guidelines
Authors
KeywordsAnti-infective agents
Biliary
Cholangitis
Guidelines
Infection
Issue Date2007
PublisherSpringer Japan. The Journal's web site is located at http://link.springer.de/link/service/journals/00534/index.htm
Citation
Journal Of Hepato-Biliary-Pancreatic Surgery, 2007, v. 14 n. 1, p. 59-67 How to Cite?
AbstractAntimicrobial agents should be administered to all patients with suspected acute cholangitis as a priority as soon as possible. Bile cultures should be performed at the earliest opportunity. The important factors which should be considered in selecting antimicrobial therapy include the agent's activity against potentially infecting bacteria, the severity of the cholangitis, the presence or absence of renal and hepatic diseases, the patient's recent history of antimicrobial therapy, and any recent culture results, if available. Biliary penetration of the microbial agents should also be considered in the selection of antimicrobials, but activity against the infecting isolates is of greatest importance. If the causative organisms are identified, empirically chosen antimicrobial drugs should be replaced by narrower-spectrum antimicrobial agents, the most appropriate for the species and the site of the infection. © Springer-Verlag Tokyo 2007.
Persistent Identifierhttp://hdl.handle.net/10722/84018
ISSN
2023 SCImago Journal Rankings: 1.104
PubMed Central ID
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorTanaka, Aen_HK
dc.contributor.authorTakada, Ten_HK
dc.contributor.authorKawarada, Yen_HK
dc.contributor.authorNimura, Yen_HK
dc.contributor.authorYoshida, Men_HK
dc.contributor.authorMiura, Fen_HK
dc.contributor.authorHirota, Men_HK
dc.contributor.authorWada, Ken_HK
dc.contributor.authorMayumi, Ten_HK
dc.contributor.authorGomi, Hen_HK
dc.contributor.authorSolomkin, JSen_HK
dc.contributor.authorStrasberg, SMen_HK
dc.contributor.authorPitt, HAen_HK
dc.contributor.authorBelghiti, Jen_HK
dc.contributor.authorde Santibanes, Een_HK
dc.contributor.authorPadbury, Ren_HK
dc.contributor.authorChen, MFen_HK
dc.contributor.authorBelli, Gen_HK
dc.contributor.authorKer, CGen_HK
dc.contributor.authorHilvano, SCen_HK
dc.contributor.authorFan, STen_HK
dc.contributor.authorLiau, KHen_HK
dc.date.accessioned2010-09-06T08:47:57Z-
dc.date.available2010-09-06T08:47:57Z-
dc.date.issued2007en_HK
dc.identifier.citationJournal Of Hepato-Biliary-Pancreatic Surgery, 2007, v. 14 n. 1, p. 59-67en_HK
dc.identifier.issn0944-1166en_HK
dc.identifier.urihttp://hdl.handle.net/10722/84018-
dc.description.abstractAntimicrobial agents should be administered to all patients with suspected acute cholangitis as a priority as soon as possible. Bile cultures should be performed at the earliest opportunity. The important factors which should be considered in selecting antimicrobial therapy include the agent's activity against potentially infecting bacteria, the severity of the cholangitis, the presence or absence of renal and hepatic diseases, the patient's recent history of antimicrobial therapy, and any recent culture results, if available. Biliary penetration of the microbial agents should also be considered in the selection of antimicrobials, but activity against the infecting isolates is of greatest importance. If the causative organisms are identified, empirically chosen antimicrobial drugs should be replaced by narrower-spectrum antimicrobial agents, the most appropriate for the species and the site of the infection. © Springer-Verlag Tokyo 2007.en_HK
dc.languageengen_HK
dc.publisherSpringer Japan. The Journal's web site is located at http://link.springer.de/link/service/journals/00534/index.htmen_HK
dc.relation.ispartofJournal of Hepato-Biliary-Pancreatic Surgeryen_HK
dc.subjectAnti-infective agentsen_HK
dc.subjectBiliaryen_HK
dc.subjectCholangitisen_HK
dc.subjectGuidelinesen_HK
dc.subjectInfectionen_HK
dc.titleAntimicrobial therapy for acute cholangitis: Tokyo Guidelinesen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0944-1166&volume=14&issue=1&spage=59&epage=67&date=2007&atitle=Antimicrobial+therapy+for+acute+cholangitis:+Tokyo+Guidelinesen_HK
dc.identifier.emailFan, ST: stfan@hku.hken_HK
dc.identifier.authorityFan, ST=rp00355en_HK
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1007/s00534-006-1157-6en_HK
dc.identifier.pmid17252298-
dc.identifier.pmcidPMC2784514-
dc.identifier.scopuseid_2-s2.0-33846657763en_HK
dc.identifier.hkuros125979en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-33846657763&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume14en_HK
dc.identifier.issue1en_HK
dc.identifier.spage59en_HK
dc.identifier.epage67en_HK
dc.identifier.isiWOS:000245342900012-
dc.publisher.placeJapanen_HK
dc.identifier.scopusauthoridTanaka, A=7404667690en_HK
dc.identifier.scopusauthoridTakada, T=7202751961en_HK
dc.identifier.scopusauthoridKawarada, Y=7102270197en_HK
dc.identifier.scopusauthoridNimura, Y=7201351672en_HK
dc.identifier.scopusauthoridYoshida, M=14421962900en_HK
dc.identifier.scopusauthoridMiura, F=35475649700en_HK
dc.identifier.scopusauthoridHirota, M=7201993802en_HK
dc.identifier.scopusauthoridWada, K=8973796100en_HK
dc.identifier.scopusauthoridMayumi, T=7102413301en_HK
dc.identifier.scopusauthoridGomi, H=15836576100en_HK
dc.identifier.scopusauthoridSolomkin, JS=7006149016en_HK
dc.identifier.scopusauthoridStrasberg, SM=7101931401en_HK
dc.identifier.scopusauthoridPitt, HA=7103213587en_HK
dc.identifier.scopusauthoridBelghiti, J=35403099400en_HK
dc.identifier.scopusauthoridde Santibanes, E=15057704700en_HK
dc.identifier.scopusauthoridPadbury, R=6603924012en_HK
dc.identifier.scopusauthoridChen, MF=34874546600en_HK
dc.identifier.scopusauthoridBelli, G=7004998933en_HK
dc.identifier.scopusauthoridKer, CG=7005769410en_HK
dc.identifier.scopusauthoridHilvano, SC=6603194000en_HK
dc.identifier.scopusauthoridFan, ST=7402678224en_HK
dc.identifier.scopusauthoridLiau, KH=15837148100en_HK
dc.identifier.citeulike1100216-
dc.identifier.issnl0944-1166-

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