Home Therapy Lower airways
Home Therapy Lower airways

pleuraempyeem

Advices

< 18 years

Indications: Initiele intraveneuze therapie
Priority Medication Remarks
Priority:
 1st choice 		Medication:

cefuroxim iv

Priority:
 1st choice alternative 		Medication:

amoxicilline + clavulaanzuur iv

Remarks:

Dosis amoxicilline + clavulaanzuur: https://www.kinderformularium.nl/geneesmiddel/307/amoxicilline-clavulaanzuur

Eventueel clindamycine toevoegen. Dosis clindamycin: https://www.kinderformularium.nl/geneesmiddel/312/clindamycine
< 18 years

Indications: Oraal uitbehandelen
Priority Medication Remarks
Priority:
 1st choice 		Medication:

clindamycine po

Remarks:

Dosis clindamycin: https://www.kinderformularium.nl/geneesmiddel/312/clindamycine

Gezien clindamycine resistentie: orale uitbehandeling slechts bij bekend gevoelig pathogeen
Priority:
 1st choice alternative 		Medication:

amoxicilline + clavulaanzuur po

General comments

Drainage is vaak gëindiceerd.

Duur intraveneuze behandeling afhankelijk van beloop (2-6 weken). 

Sources

  1. Pubmed.gov publication # 32919518

    de Benedictis FM, Kerem E, Chang AB, Colin AA, Zar HJ, Bush A. Complicated pneumonia in children. Lancet. 2020 Sep 12;396(10253):786-798.

Antimicrobial resources

The following antimicrobial agents have been used in these recommendations:

  • cefuroxim
  • amoxicilline + clavulaanzuur
  • clindamycine
Menu position
Metadata

Swab vid: G-390905.1
Updated: 12/18/2025 - 09:52
Status: Published