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Operational Medicine 2001
Piperacillin (Pipracil)

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Category:

  • Antibiotic

Description:

  • Penicillin

Indications:

  • Mild to moderate mized infections (i.e.; intra-abdominal, urinary tract,  gynecological, lower respiratory tract, skin, bone, joint, septicemia, streptococcal and gonococcal infections)

  • susceptible strains of anaerobic cocci, H. influenzae, Clostridium species, Klebsiella species, P aeruginosa, Proteus species (including P. miribalis and enterococci), E. coli, Streptococcus faecelis, Bacteriodes species (including B. fragilis), Serratia  species, N. gonorrhoeae

Contraindications:

  • None

Precautions:

  • Pregnancy category B

  • Use with caution in patients with PCN or cephalosporin allergy (5-10% chance of cross-reactivity)

  • modifications are generally only required in patients with severe renal impairment

Adverse Reactions (Side Effects):

  • Hypersensitivity

  • Gastrointestinal: nausea, diarrhea

  • Vaginitis  

Dosage:

Administered by IV or IM injection

  • Adults:

    • 3-4 grams every 4-6 hours as a 20-30 minute IV infusion (max daily dose is 24 grams)

    • limit IM doses to 2 grams per site

    • average duration of therapy is 7-10 days

  • Infants and Child:

    • no established doses

    • suggested at 200-300mg/kg/day every 4-6 hours

 

 

Approved for public release; Distribution is unlimited.

The listing of any non-Federal product in this CD is not an endorsement of the product itself, but simply an acknowledgement of the source. 

Operational Medicine 2001

Health Care in Military Settings

Bureau of Medicine and Surgery
Department of the Navy
2300 E Street NW
Washington, D.C
20372-5300

Operational Medicine
 Health Care in Military Settings
CAPT Michael John Hughey, MC, USNR
NAVMED P-5139
  January 1, 2001

 United States Special Operations Command
7701 Tampa Point Blvd.
MacDill AFB, Florida
33621-5323

*This web version is provided by The Brookside Associates Medical Education Division.  It contains original contents from the official US Navy NAVMED P-5139, but has been reformatted for web access and includes advertising and links that were not present in the original version. This web version has not been approved by the Department of the Navy or the Department of Defense. The presence of any advertising on these pages does not constitute an endorsement of that product or service by either the US Department of Defense or the Brookside Associates. The Brookside Associates is a private organization, not affiliated with the United States Department of Defense.

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