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. 2020 Jan 24;7(1):1–11. doi: 10.1007/s40472-020-00268-0

Table 1.

Initial antibiotic treatment in end-stage liver disease before liver transplantation [9, 2123]

Infection type Community-acquired Nosocomial

SBP

SBE

Spontaneous bacteremia

Cefotaxime or ceftriaxone Broad-spectrum beta-lactam- or carbapenem-based therapy based on local antibiogram ± vancomycin (if high percentage of VSE/MRSA)
Urinary infections with sepsis Cefotaxime or ceftriaxone Broad-spectrum beta-lactam- or carbapenem-based therapy based on local antibiogram ± vancomycin (if high percentage of VSE/MRSA)
Pneumonia Ceftriaxone + macrolide or respiratory fluoroquinolone (moxifloxacin or levofloxacin) Broad-spectrum beta-lactam- or carbapenem-based therapy based on local antibiogram ± vancomycin (if high percentage of VSE/MRSA)
Cellulitis

Nonpurulent infection (necrotizing infection/cellulitis/erysipelas):

Severe: rule out necrotizing process; empiric anti-MRSA agent +piperacillin/tazobactam

Moderate: ceftriaxone or cefazolin

Purulent cellulitis (furuncle/carbuncle/abscess):

Irrigation and debridement

Empiric: anti-MRSA agent

SBP, spontaneous bacterial peritonitis; SFP, spontaneous fungal peritonitis; MRSA, methicillin-resistant Staphylococcus aureus; commonly administered anti-MRSA agents: vancomycin, daptomycin, linezolid, ceftaroline