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Journal of Hepato-Biliary-Pancreatic Sciences

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01-01-2013 | Guideline

TG13 antimicrobial therapy for acute cholangitis and cholecystitis

Authors: Harumi Gomi, Joseph S. Solomkin, Tadahiro Takada, Steven M. Strasberg, Henry A. Pitt, Masahiro Yoshida, Shinya Kusachi, Toshihiko Mayumi, Fumihiko Miura, Seiki Kiriyama, Masamichi Yokoe, Yasutoshi Kimura, Ryota Higuchi, John A. Windsor, Christos Dervenis, Kui-Hin Liau, Myung-Hwan Kim

Published in: Journal of Hepato-Biliary-Pancreatic Sciences | Issue 1/2013

Abstract

Therapy with appropriate antimicrobial agents is an important component in the management of patients with acute cholangitis and/or acute cholecystitis. In the updated Tokyo Guidelines (TG13), we recommend antimicrobial agents that are suitable from a global perspective for management of these infections. These recommendations focus primarily on empirical therapy (presumptive therapy), provided before the infecting isolates are identified. Such therapy depends upon knowledge of both local microbial epidemiology and patient-specific factors that affect selection of appropriate agents. These patient-specific factors include prior contact with the health care system, and we separate community-acquired versus healthcare-associated infections because of the higher risk of resistance in the latter. Selection of agents for community-acquired infections is also recommended on the basis of severity (grades I–III).

Free full-text articles and a mobile application of TG13 are available via http://www.jshbps.jp/en/guideline/tg13.html.

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Title: TG13 antimicrobial therapy for acute cholangitis and cholecystitis
Authors: Harumi Gomi
Joseph S. Solomkin
Tadahiro Takada
Steven M. Strasberg
Henry A. Pitt
Masahiro Yoshida
Shinya Kusachi
Toshihiko Mayumi
Fumihiko Miura
Seiki Kiriyama
Masamichi Yokoe
Yasutoshi Kimura
Ryota Higuchi
John A. Windsor
Christos Dervenis
Kui-Hin Liau
Myung-Hwan Kim
Publication date: 01-01-2013
Publisher: Springer Japan
Published in: Journal of Hepato-Biliary-Pancreatic Sciences / Issue 1/2013
Print ISSN: 1868-6974
Electronic ISSN: 1868-6982
DOI: https://doi.org/10.1007/s00534-012-0572-0

At a glance: The STEP trials

Springer Medicine

TG13 antimicrobial therapy for acute cholangitis and cholecystitis

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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Other articles of this Issue 1/2013

TG13 guidelines for diagnosis and severity grading of acute cholangitis (with videos)

TG13 indications and techniques for gallbladder drainage in acute cholecystitis (with videos)

TG13 surgical management of acute cholecystitis

TG13 indications and techniques for biliary drainage in acute cholangitis (with videos)

TG13 management bundles for acute cholangitis and cholecystitis

Newsletter, January 1, 2013