This protocol applies to patients presenting with complicated acute calculous cholecystitis who are suitable for surgery and are not refusing surgical intervention.
In complicated acute calculous cholecystitis, antimicrobial selection is guided by the presumed pathogens involved and the patient's individual risk factors for major resistance patterns.
The structured regimen for this scenario centres on a laparoscopic surgical approach, with the specific timing determined by whether earlier intervention was feasible. The complete criteria, sequencing, and decision points are available in the full protocol.
DOI: 10.1186/s13017-020-00336-x
In complicated ACC, we recommend prescribing the antimicrobial regimen based on the presumed pathogens involved and the risk factors for major resistance patterns.
We suggest DLC to be performed beyond 6 weeks from the first clinical presentation, in case ELC cannot be performed (within 7 days of hospital admission and within 10 days of onset of symptoms).
View source ↗