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Home Therapy Gastrointestinal infections

gastroenteritis - Cryptosporidium species

Advices

1 months - 18 years

Indications: Immuuncompetent
Priority Medication Remarks
Priority:
 1st choice 		Medication:

Remarks:

SWAB remarks

niet behandelen, tenzij langdurige klachten
Priority:
 2nd choice 		Medication:

Remarks:

SWAB remarks

nitazoxanide po gedurende 3 dagen: 1-3 jaar: 2 dd 100 mg, 4-11 jaar: 2 dd 200 mg, > 11 jaar: 2 dd 500 mg
1 months - 18 years

Indications: Immuungecompromitteerd
Priority Medication Remarks
Priority:
 1st choice
Remarks:

SWAB remarks

Meest effectieve therapie is herstel van eigen afweer (bv door HAART bij HIV of verminderen immuunsuppressie)
Priority:
 2nd choice
Remarks:

SWAB remarks

nitazoxanide po gedurende 14-28 dagen: 1-3 jaar: 2 dd 100 mg, 4-11 jaar: 2 dd 200 mg, > 11 jaar: 2 dd 500 mg
Priority:
 2nd choice alternative 		Medication:

paromomycine po 14 days

+

azitromycine po 10mg/kg 1dd 14 days
Remarks:

SWAB remarks

Behandelduur eventueel verlengen tot 28 dagen.

Dosis paromomycine: https://www.kinderformularium.nl/geneesmiddel/25/paromomycine.

Dosis azitromycine: https://www.kinderformularium.nl/geneesmiddel/309/azitromycine.

Sources

  1. Pubmed.gov publication # 19632225

    Rossignol JF (2010) Cryptosporidium and Giardia: treatment options and prospects for new drugs. Exp Parasitol. 124:45-53.

  2. Pubmed.gov publication # 20689422

    Cabada MM, White AC Jr. (2010) Treatment of cryptosporidiosis: do we know what we think we know? Curr Opin Infect Dis. 23(5):494-9.

  3. Pubmed.gov publication # 19400754

    Pantenburg B, Cabada MM, White AC jr. (2009) Treatment of cryptosporidiosis. Expert Rev Anti Infect Ther 7: 385-91

  4. Pubmed.gov publication # 17335543

    Abubakar I, Aliyu SH, Arumugam C, Usman NK, Hunter PR (2007) Treatment of cryptosporidiosis in immunocompromised individuals: systematic review and meta-analysis. Br J Clin Pharmacol. 63:387-93.

  5. http://www.mimg.ucla.edu/faculty/campbell/drugs_for_parasites.pdf

    CDC (2004) Drugs for parasitic infections. The Medical Letter 46

  6. SWAB Guideline IX - Acute infectieuze diarree
    View all guidelines
Antimicrobial resources

The following antimicrobial agents have been used in these recommendations:

  • paromomycine
  • azitromycine
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Metadata

Swab vid: G-272293.3
Updated: 06/03/2019 - 12:22
Status: Published