Antiprotozoans Flashcards

1
Q

indications of metronidazole

A
  • trichomoniasis
  • amebiasis
  • giardiasis
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2
Q

AE of metronidazole

A
  • disulfiram-like reactions, nausea, peripheral neuropathy
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3
Q

CI of metronidazole

A
  • pregnancy
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4
Q

indications of tinidazole

A
  • trichomoniasis
  • amebiasis
  • giardiasis
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5
Q

AE of tinidazole

A
  • bitter taste

- acute hypersensitivity reaction (severe), erythema multiforme, SJ syndrome

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6
Q

indications of nitazoxanide

A
  • diarrhea treatment of crypto in immune competent patients

- diarrhea due to giardia

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7
Q

indications of atovaquone

A
  • pneuomocystic jiroveci in patients who are intolerant to TMP-SMX
  • primary prophylaxis for PCP in HIV pt at high risk of toxo encephalitis
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8
Q

indications of pentamidine

A
  • treatment and prevention of pneumonia caused by pneumocystic jiroveci
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9
Q

AE of pentamidine

A
  • cardiac arrythmias
  • permanent insulin requiring DM
  • pneumonia may still occur despite treatment
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10
Q

indications of pyrimethamine

A
  • prophylaxis of malaria

- synergistic combo with sulfonamide in treatment of toxo

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11
Q

AE of pyrimethamine

A
  • must monitor CBC and platelet counts
  • discontinue at first sign of rash, report bleeding or bruising
  • take with food to minimize vomiting
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12
Q

indications of sulfadiazine

A
  • toxo
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13
Q

AE of sulfadiazine

A
  • SJ syndrome, photosensitivity

- supplemental folic acid must be given to avoid folic acid deficiency

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14
Q

DOC for trichomonas vaginalis

A
  • metronidazole and tinidazole
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15
Q

DOC for giardia

A
  • metronidazole and tinidazole
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16
Q

DOC for entamoeba histolytica

A
  • asymptomatic- paraomomycin

- symptomatic - metronidazole or tinidazole immediately followed by paramomycin

17
Q

DOC for babesiosis

A
  • clindamycin with quinine OR

- atovaquone with azithromycin

18
Q

DOC for chagas

A
  • nifurtimox
19
Q

DOC for trypanosoma brucei

A
  • hemolymphatic state of TB. gambiense (west africa) -pentamidine isethionate
  • hemolymphatic state of Tb. rhodesiense (east africa) - sumarin
  • late disease with CNS involvement- melarsoprol
20
Q

DOC for cryptosporidiosis

A
  • nitazoxanide for immunoCOMPETENT pts.

- HIV pts use HAART

21
Q

DOC for cyclosporiasis

A
  • TMP-SMX
22
Q

DOC for microsporidiosis

A
  • albendazole
23
Q

DOC for pneumocystis jiroveci

A
  • TMP-SMX
24
Q

DOC for toxoplasmosis

A
  • pyrimethamine with sulfadiazine OR

- pyrimethamine with clindamycin

25
Q

DOC for uncomplicated P. falciparum or species not identified

A
  • chloroquine phosphate or hydroxychloroquine
26
Q

DOC for chloroquine resistant malaria or unknown restistance

A
  • quinine + (doxy, tetracycline, OR clindamycin) OR
  • atovaquone-progunail
    OR
  • mefloquine
27
Q

DOC for P. vivax or P ovale

A
  • chloroquine with primaquine
    OR
  • mefloquine with primaquine
28
Q

DOC for severe malaria in all regions

A
  • quinidine with doxy, tetracycline, or clindamycin