Bowel Obstruction

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Martine D. -

Cefazolin for SBO?
no coverage for Gram- Bacteria
Maybe she wanted to say Ceftriaxone/metronidazole?

Martine

Mel H. -

CorePendium has this array the key is the last line:
Administer broad-spectrum antibiotics to sick patients and those in whom perforation is a strong consideration; ensure coverage of enteric organisms:
Piperacillin-tazobactam 3.375 g IV q6h (4.5 g IV q6h for Pseudomonas risk) or
Cefazolin 1-2 g IV q8h plus metronidazole 500 mg IV q8h or
Cefepime 2 g IV q8h plus metronidazole 500 mg IV q8h or
Ciprofloxacin 400 mg IV q12h plus metronidazole 500 mg IV q8h
Many viable options exist; follow local guidelines where available.

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