Spectrum: Local Antimicrobial Stewardship, for Eastern Health

Acute Cholecystitis - Severity

Surgical opinion required for definitive management (i.e. cholecystectomy, cholecystostomy)

Bile for anaerobic C&S should be obtained unless mild uncomplicated acute cholecystitis

Select Type

Uncomplicated community-acquired acute cholecystitis

Community-acquired acute cholecystitis with severe sepsis, or immunocompromised

Severe sepsis includes all of the following:

1.

SIRS criteria (Two of the following:)

  • HR>90

  • Tachypnea

  • Temp >38 or <36

  • WBC >12 or <4

2. Suspected/confirmed infection

3. At least one new organ dysfunction (hypotension, elevated lactate, AKI, acute lung injury, DIC, neurologic or hepatic)

Health care-associated acute cholecystitis

Health Care Associated
A non pre-existent infection occurring ≥ 48 hours after hospital admission and/or within 90 days of discharge from a health care facility or regular outpatient visits (eg. dialysis or chemotherapy).