Revisions for Brain abscess

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Revision	Operations
10-4-23 by kaipe Added "post-neurosurgical procedure" recommendations	current revision
09-26-23 by kaipe
07-15-21 by ucsf_admin

Patient Population: Adult

Diagnosis	Common Pathogens	Drug(s) of First Choice	Alternative Drug(s)	Comments	Expected Duration
Brain abscess (community-acquired)	Streptococci (anaerobic or aerobic) Bacteroides spp Prevotella spp Enterobacterales	Ceftriaxone 2g IV q12h PLUS Metronidazole PLUS Vancomycin	For severe PCN allergy: Aztreonam PLUS Vancomycin PLUS Metronidazole		ID consultation recommended
Brain abscess (post-neurological procedure)	Streptococci (anaerobic or aerobic) Anaerobes Enterobacterales S. aureus & coagulase-negative Staphylococcus spp Pseudomonas aeruginosa Acinetobacter spp.	Cefepime PLUS Vancomycin PLUS Metronidazole	For severe PCN allergy: Aztreonam PLUS Vancomycin PLUS Metronidazole		ID consultation recommended

Diagnosis

Common Pathogens

Drug(s) of First Choice

Alternative Drug(s)

Comments

Expected Duration

Brain abscess (community-acquired)

Streptococci (anaerobic or aerobic)

Bacteroides spp

Prevotella spp

Enterobacterales

Ceftriaxone 2g IV q12h