gastroenteritis - isosporidiose / cystoisosporidiose (Isospora belli/Cystoisopora belli)
Advices
| Priority | Medication | Remarks |
|---|---|---|
|
Priority: 1st choice |
Medication:
|
Remarks:
Niet behandelen tenzij: - Immuungecompromitteerd of - Langdurig onverklaarbare darmklachten Zie dan bij: Immuungecompromiteerden Zie ook opmerkingen |
| Priority | Medication | Remarks |
|---|---|---|
|
Priority: 1st choice |
Medication: cotrimoxazol (trimethoprim + sulfamethoxazol) po 960mg 2dd 10 days |
Remarks:
Zie opmerkingen |
|
Priority: 2nd choice |
Medication: ciprofloxacine po 500mg 2dd 7 days |
Remarks:
Zie opmerkingen |
Sources
-
http://www.uab.edu/medicine/gorgas/images/docs/syllabus/2015/03_Parasites/RxParasitesMedicalLetter2013.pdf
Treatment Guidelines from The Medical Letter • Vol. 11 (Suppl) • 2013
-
Pubmed.gov publication # 16883348
Farthing MJ (2006) Treatment options for the eradication of intestinal protozoa. Nat Clin Pract Gastroenterol Hepatol. 3(8):436-45.
- SWAB Guideline XVIII - Acute infectieuze diarree
- Therapierichtlijn Parasitaire infecties 2020, Nederlandse Vereniging voor Parasitologie
Antimicrobial resources
The following antimicrobial agents have been used in these recommendations:
External antimicrobial resources
Menu position
Metadata
Swab vid: G-211412.3
Updated: 02/25/2023 - 16:11
Status: Published
General comments
Immuuncompetente patiënten: Infectie is zelflimiterend.
Immuungecompromitteerden (bv. HIV+ met CD4+ <100 x 10^6/L): geef na therapie secundaire profylaxe:
3 x per week dagelijks 960 mg cotrimoxazol; tot CD4+ >200 x 10^6/L.
Isosporidiose persisteert meestal totdat afweer is hersteld.