Defined as a triad of fever, jaundice and abdominal pain resulting from stasis and infection in the biliary tract
Rapid surgical/gastroenterology consult for source control (e.g. ERCP, percutanious drainage)
Biliary tract cultures (positive in >90%) to guide therapy
Blood cultures in severely ill and health care associated cholangitis
Procalcitonin (PCT) not usually useful
Check one:
Those who do not meet criteria for severe infection but may have:
Requiring ICU admission, or
Sepsis (life-threatening organ dysfunction e.g. hypotension, acute renal failure, caused by dysregulated host response to infection)
Check one:
Acquired in the outpatient setting
Acquired more than 48 hours post admission, or
Hospitalization, surgery, regular outpatient visits (e.g. dialysis, chemotherapy) within last 90 days or residing in long term care
Check any, if present:
Usual Organisms
Less Common Organisms
Organisms of Interest in IAI