Table 4.
Suspicion of spontaneous bacterial peritonitis |
Simple cholecystitis |
Gangrenous cholecystitis without rupture |
Simple appendicitis |
Acute suppurative cholangitis |
Pancreatic abscess |
APACHE II score of >30 |
Active or treated leukemia or systemic malignancy within prior 3 months |
Metastatic abdominal cancer within prior 6 months |
Known AIDS |
Uncontrolled central nervous system disease |
Pregnancy or breast-feeding |
Hypersensitivity to either study drug or related compounds |
Concomitant ganciclovir therapy |
Significant hepatic disease (AST/ALT >10× ULN or total bilirubin >3× ULN) |
Acute hepatic failure or acute decompensation of chronic hepatic failure |
Significant renal disease (creatinine clearance <41 mL/min) |
Neutropenia with absolute neutrophil count <1000/mm3 |
Abdominal infection caused by one or more bacteria not susceptible to either of the study drugs |
Surgical procedures with expected re-exploration |
Administration of intraoperative or peritoneal antimicrobial irrigants |
∗From reference 14.
APACHE II indicates Acute Physiology and Chronic Health Evaluation II; ALT, alanine aminotransferase; AST, aspartate aminotransferase; ULN, upper limit of normal.