Intestinal Obstruction

exp date isn't null, but text field is

See full Zimbabwe STG for full management. 

Antibiotic use in intestinal obstruction is necessary where bacterial translocation is suspected especially with longer history of obstruction or where a closed loop obstruction with possible gangrene/perforation of bowel is suspected e.g in sigmoid volvulus or at surgery where unprepared bowel is opened. 

First line: 

	Medicine	Dose	Frequency
	benzyl penicillin iv	2.5MU	4 times a day
and	gentamicin iv	120mg	once a day
and	metronidazole iv	500mg	3 times a day

Second Line

	Medicine	Dose	Frequency
	ceftriaxone iv	1g	2 times a day
and	metronidazole iv	500mg	3 times a day

NB Gentamicin should not be used where renal impairment is likely or confirmed.