How long do you continue antibiotics after cholecystostomy tube placement for acute cholecystitis?

Topics: Infectious Disease • General Infectious Disease

Since the COVID-19 pandemic, increasingly we see management of acute cholecystitis with cholecystostomy tubes as opposed to surgery, even amongst patients who are good candidates for surgery. The data on durations of antibiotic therapy in this setting are limited. How long should we continue antibiotics in patients with cholecystostomy tubes, until surgery or sooner?

Answer from: at Academic Institution

The solution to questions regarding treatment duration invariably falls under the category of "it depends." For individuals with severe illnesses, particularly those with bacteremia, an extended treatment period ranging from 7-14 days might be needed. Conversely, for patients who show significant im...

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at Cooperman Barnabas Medical Center
Most surgeons do not culture bile during cholecyst...

at University of Michigan Health System
The need for routine bile culture largely hinges o...

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