What is the recommended initial management and antibiotic regimen for an adult with acute cholangitis (no β‑lactam allergy), including dosing adjustments for renal impairment and appropriate duration of therapy?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board

Educational purpose only • Exercise caution as content is pending human review

Article Review Status

Submitted

Under Review

Approved

Last updated: February 10, 2026 • View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Related Questions

How many days of Ceftriaxone treatment are recommended for an adult patient with normal renal function and cholangitis?

What is the recommended treatment for a patient with cholangitis?

What is the typical treatment length for cholangitis?

What are the guidelines for managing cholangitis?

What is the management plan for cholangitis?

For a pediatric karate tournament (children aged 5‑15 years, generally healthy but may have asthma, allergies, or dental braces), what primary and secondary assessments should I be prepared to perform for the most common injuries, what evidence‑based first‑aid protocols should I follow for those injuries, and what essential equipment should I have on hand as on‑site medical staff?

When does a patient with prediabetes require pharmacologic therapy?

In a reproductive‑age woman with a Nexplanon contraceptive implant who has recurrent urinary‑tract infections and a recent ureaplasma vaginal infection, is the implant causing urinary frequency and should I treat the UTI with ciprofloxacin?

What are the simplified FibroScan (transient elastography) kPa cut‑offs for fibrosis stages (F0‑F4) in adults with chronic hepatitis C, chronic hepatitis B, NAFLD/NASH, alcohol‑related liver disease, and primary biliary cholangitis or primary sclerosing cholangitis?

What is the appropriate dosage and administration schedule of spirulina for a 58‑year‑old man?

In a young healthy male builder with a reducible inguinal hernia extending into the scrotum, what is the recommended management?

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.