Pancreatitis

Mild Pancreatitis

Antibiotics should NOT be prescribed

Severe Acute Necrotising Pancreatitis (greater than 30% necrosis on CT scan)

Refer to Hepatobiliary team
If patient deteriorates, consider antibiotic treatment as per intra-abdominal sepsis guidance
Seek advice from ID/Microbiology once cultures available or if patient deteriorates whilst on first line therapy.

Established Infected Pancreatic Necrosis/Infected peri or pancreatic collection

Refer to Hepatobiliary team
Consider drainage
Seek advice from ID/Microbiology
Antibiotic management is based on positive cultures from infected drain fluid