gastroenteritis - isosporidiose / cystoisosporidiose (Isospora belli/Cystoisopora belli)
Advices
| Priority | Medication | Remarks |
|---|---|---|
|
Priority: 1st choice |
Remarks:
niet behandelen tenzij substantiele klachten of immuungecompromitteerd-zijn |
|
|
Priority: 2nd choice |
Medication: cotrimoxazol (trimethoprim +sulfamethoxazol) po 960mg 2dd 10 days |
|
|
Priority: 3rd choice |
Medication: ciprofloxacine po 500mg 2dd 7 days |
Sources
-
Pubmed.gov publication # 16883348
Farthing MJ (2006) Treatment options for the eradication of intestinal protozoa. Nat Clin Pract Gastroenterol Hepatol. 3(8):436-45.
-
Pubmed.gov publication # 16148530
Lewthwaite P, et al. Gastrointestinal parasites in the immunocompromised. Curr Opin Infect Dis 2005;18: 427-435
-
Pubmed.gov publication # 23982239
Legua P and Seas C. (2013) Cystoisospora and cyclospora. Curr Opin Infect Dis. 26(5):479-83
Antimicrobial resources
The following antimicrobial agents have been used in these recommendations:
External antimicrobial resources
Menu position
Metadata
Swab vid: G-146496.7
Updated: 03/12/2024 - 18:09
Status: Published
General comments
In principe niet behandelen tenzij langduringe/substantiele darmklachten of immuungecompromitteerd.
Infectie is zelflimiterend in immuuncompetente patienten.
Cystoisospora belli wordt in oude literatuur Isospora belli genoemd.
Voor behandeling cystoisosporidiois bij immuungecompromitteerde patiënten, zie https://erasmusmc.adult.nl.antibiotica.app/nl/node/498902.
Ciprofloxacine bij kinderen alleen op strikte indicatie toepassen in verband met een relatief groter risico van artropathie.