Citation for published version If the case is judged to be urgent, initial medical treatment should be started immediately including respiratory/circulatory managem Tokyo Guidelines (TG) provides recommendations for the appropriate for use of antimicrobials for community-acquired and healthcare-associated infections Tokyo Guidelinesinitial management of acute biliary infection and flowchart for acute cholangitis. （ ） In the Tokyo Guidelines Revision Committee, we searched for evidence published since TG13, and identified articles related to the diagnostic criteria and severity grading of acute cholecystitis, includingrandomized controlled trials (RCTs) The initial management of patients with suspected acute biliary infection starts with the measurement of vital signs to assess whether or not the situation is urgent. The listed Here, in Tokyo Guidelines (TG18), we redefine the management bundles for acute cholangitis and cholecystitis. Critical parts of the bundles in TGinclude the diagnostic TLDR. It was judged that the severity assessment criteria of TGcould be applied in the updated Tokyo Guidelines (TG13) with minor changes, and TGpresents new Tokyo Guidelines （TG18）. Citation for published version The Tokyo Guidelines (TG13) diagnostic criteria and severity grading of acute cholecystitis [1] have become widely adopted in recent years, being used not only in The Tokyo Guidelines (TG18) provides recommendations for the appropriate use of antimicrobials for community-acquired and healthcare-associated infections. Tokyo Guidelinesinitial management of acute biliary infection and flowchart for acute cholangitis. Update: ember 7, Free Full text of TG(in English) ・ Tokyo Guidelines antimicrobial therapy for acute cholangitis and cholecystitis.
Citation for published version If the case is judged to be urgent, initial medical treatment should be started immediately including respiratory/circulatory managem Tokyo Guidelines (TG) provides recommendations for the appropriate for use of antimicrobials for community-acquired and healthcare-associated infections Tokyo Guidelinesinitial management of acute biliary infection and flowchart for acute cholangitis. （ ） In the Tokyo Guidelines Revision Committee, we searched for evidence published since TG13, and identified articles related to the diagnostic criteria and severity grading of acute cholecystitis, includingrandomized controlled trials (RCTs) The initial management of patients with suspected acute biliary infection starts with the measurement of vital signs to assess whether or not the situation is urgent. The listed Here, in Tokyo Guidelines (TG18), we redefine the management bundles for acute cholangitis and cholecystitis. Critical parts of the bundles in TGinclude the diagnostic TLDR. It was judged that the severity assessment criteria of TGcould be applied in the updated Tokyo Guidelines (TG13) with minor changes, and TGpresents new Tokyo Guidelines （TG18）. Citation for published version The Tokyo Guidelines (TG13) diagnostic criteria and severity grading of acute cholecystitis [1] have become widely adopted in recent years, being used not only in The Tokyo Guidelines (TG18) provides recommendations for the appropriate use of antimicrobials for community-acquired and healthcare-associated infections. Tokyo Guidelinesinitial management of acute biliary infection and flowchart for acute cholangitis. Update: ember 7, Free Full text of TG(in English) ・ Tokyo Guidelines antimicrobial therapy for acute cholangitis and cholecystitis.
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