Leishmaniasis - visceraal
Advices
Priority | Medication | Remarks |
---|---|---|
Priority: 1st choice |
Medication: amfotericine B liposomaal (Ambisome) iv 10mg/kg 1dd 2 days |
Remarks:
2 giften eventueel verspreid over max 7 dagen (maximale dosis 20 mg/kg) |
Priority: 2nd choice |
Remarks:
Miltefosine po 50 mg 3dd voor 28 dagen |
Priority | Medication | Remarks |
---|---|---|
Priority: 1st choice |
Medication: amfotericine B liposomaal (Ambisome) iv 10mg/kg 1dd |
Remarks:
4 giften verspreid over 4 tot 8 dagen (totale dosis 40 mg/kg) |
Priority: 2nd choice |
Remarks:
Miltefosine po 50 mg 3dd voor 6 weken |
Sources
-
Pubmed.gov publication # 24787001
Hodiamont CJ, Kager PA, Bart A, de Vries HJ, van Thiel PP, Leenstra T, de Vries PJ, van Vugt M, Grobusch MP, van Gool T. (2014) Species-directed therapy for leishmaniasis in returning travellers: a comprehensive guide. PLoS Negl Trop Dis. 8(5):e2832. doi: 10.1371/journal.pntd.0002832. eCollection 2014 May.
-
https://www.researchgate.net/publication/329701718_Antiparasitic_Treatment_Recommendations_-_A_practical_guide_to_clinical_parasitology
Neumayr, A (2018) Antiparasitic treatment recommendations, a practical guide to clinical parasitology. Second edition GmbH, Hamburg, Germany ISBN 978-3-7469-5002-0
Antimicrobial resources
The following antimicrobial agents have been used in these recommendations:
External antimicrobial resources
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Metadata
Swab vid: G-218526.7
Updated: 08/11/2021 - 14:51
Status: Published
General comments
Overweeg bij immunodeficiente gastheer combinatie therapie te starten: liposomaal amfotericine B iv, totale dosis van 30mg/kg, 6 x 5mg op alternerende dagen, plus miltefosine 5 mg 2dd gedurende 28 dagen