Management Flashcards
bacterial / viral/ fungal/parasitic
Empiric treatment of Enteric fever?
1- Mild symptoms : oral azithromycin (7 days)
2- Complicated infection : IV ceftriaxone then IVOST to azithro or cipro (if sensitive) for 7 days
3- Empirical cipro should not be used
If return from area of XDR EF:
1- Uncomplicated case - oral azithromycin
2- Complicated case - oral azithromycin with IV meropenem
Once sensitivity is known :
1- If azithromycin sensitive - seven days oral azithromycin
2- If Azithromycin resistant - meropenem or another agent to which the isolate is susceptible for 10 days and discussion with the reference laboratory
Treatment of a confirmed salmonella chronic carrier?
Oral ciprofloxacin (750 mg PO BD x 28 d)
Or : azithromycin (500 mg OD x 28d)
Or amoxicillin (1 g PO TDS x 28d)
T/F :
No need for test for clearance after treating a salmonella chronic carrier ?
- Monthly stool samples should be taken following treatment to confirm clearance, starting one month after treatment completion.
- A negative stool sample should be followed by two further samples taken at least 48 h apart to confirm successful clearance.
Tx of Non-typhoidal salmonella infections???
Drug of choice - Ciprofloxacin (PO pref), ceftriaxone (IV pref)
Also can use:
~ cotrimoxazole, azithromycin (see EUCAST guideline), amoxicillin.
Duration - 3 - 7 days. Severe cases/immunocompromised patients 14 days or, in some cases, longer.