Severe Acute Pancreatitis

Severe Acute Pancreatitis


No Necrosis = No Antibiotics

Sterile Necrosis = No Antibiotics

>30% necrosis on CT scan  = Prophylactic antibiotics are controversial and not generally recommended

  • Consider ID Consult for this decision
  • The use of prophylactic antimicrobials does not appear to impact development of infected necrosis (has been shown to increase antimicrobial resistance)


Prophylaxis = NOT recommended = maximum 14 days