This protocol covers the management step taken when initial oral therapy for mild monomicrobial abdominal actinomycosis has failed to achieve resolution of the infection.
Monomicrobial actinomycosis of mild severity, in a patient without penicillin allergy. Management of monomicrobial infections is stratified by severity: infection is considered severe when it involves an organ in a life-threatening manner or affects multiple organs.
Initial oral therapy with penicillin V, continued until resolution of infection (typically 6–12 months), did not achieve resolution of the actinomycosis infection. The protocol below describes the management step that follows this treatment failure.
When infection progresses or becomes complicated, a surgical approach forms the basis of next-step management — the full protocol details the specific indications, approach, and complete management algorithm.
DOI: 10.5772/intechopen.104698
For patients with monomicrobial infections, treatment can be divided base on mild versuss severe disease.
If the infection involves an organ causing a life threatening disease or multiple organs, it is considered severe.
When infection complicates with abscess and fistula formation, surgical management and drainage is warranted, especially in life threatening presentations.
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