K81.0/K83.0
GENERAL MEASURES
Surgical drainage / cholecystectomy according to indication and/or patient's condition.
MEDICINE TREATMENT
Acute cholecystitis
Mild and asymptomatic cases without risk factors may not require antibiotic treatment. If signs of infection present and/or risk factors for severe disease present:
- Elderly patients (older than 60 years of age)
- Co-morbidity
- Immune compromise
Acute cholecystitis and acute cholangitis
- Amoxicillin/clavulanic acid, oral, 875/125 mg 12 hourly.
If unable to tolerate oral therapy:
- Amoxicillin/clavulanic acid, IV, 1.2 g 8 hourly.
REFERRAL
- Clinical deterioration or failure to improve.
- Fistulae or perforation.
- Need for complicated surgery.