title: [Antimicrobial chemotherapy of cholecystitis and cholangitis].
abstract: Antibacterial chemotherapy of cholecystitis and cholangitis is of limited value, i.e. as a supportive measure. Early cholecystectomy and endoscopic-invasive procedures (in the case of cholangitis) are indicated primarily. If causal therapy is not possible long-term suppressive antimicrobial chemotherapy should be tried. Microbiological diagnosis is difficult. Therefore chemotherapy in most cases is done on empirical basis. Blood cultures are useful as well as quantitative cultures of duodenal secretions (in cases of cholangitis only). The most frequently used chemotherapeutics are discussed. Single dose chemoprophylaxis (bactericidal substances) is effective.
authors.affiliation: Inneren Abteilung Ev.-Luth. Diakonissenhauses, Leipzig.
authors.forename: C
authors.initials: C
authors.lastname: Tauchnitz
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001424:Bacterial Infections / Q000188:drug therapy*; D002761:Cholangitis / Q000188:drug therapy*; D002764:Cholecystitis / Q000188:drug therapy*; D006801:Humans; D008826:Microbial Sensitivity Tests
chemical_list: D000900:Anti-Bacterial Agents
vernacular_title: Antimikrobielle Chemotherapie bei Cholezystitis und Cholangitis.