Cholecystitis, Acute and Cholangitis, Acute
General measures Medicine treatment Referral ICD-10 code : 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 are present, such a
ICD-10 code: 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 are present, such as:
- Elderly patients (>60 years of age)
- Co-morbid conditions
- Immune compromised
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
Standard Treatment Guidelines And Essential Medicines List For South Africa, Adult Hospital level, 2020-4_Version 1_July 2024
Chapter 1: Alimentary tract; 1.2 Hepatic Disorders; 1.2.7 Cholecystitis, Acute and Cholangitis, Acute