Travelers Flashcards
TD ppx
BSS
+/-
rifaximin (preferred ABX)
BSS dosing
524-1050mg PO QID
BSS is CI in
ASA allergy
<12 yo
pregnancy
renal insufficiency
anticoagulation
with probenacid
w MTX
ulcer
when is loperamide used
TD for mild to severe treatment, not ppx
loperamide dosing
4mg with first loose stool then 2mg with every loose stool thereafter up to 16mg/d
mild TD treatment
loperamide and/or BSS
moderate TD treatment
loperamide +/- azithromycin
severe TD treatment
loperamide +/- azithromycin
what are ABX alternatives to azithromycin in treatment of mod-severe TD
FQ
rifaximin
what are the travelers vaccines
inactive
- meningococcal
- Hep B
- Hep A
- IPV
- japanese encephalitis
- typhoid IM
active
- typhoid po
- cholera po
- yellow fever
what are the treatment options for malaria ppx for a patient deciding to travel 5 days before departure
all start 2 days before travel!!!
primaquine - ends 1 week after return
atovaquone (Proguanil) - ends 1 week after return
doxycycline - ends 4 weeks after retuen
primaquine, atovaquone and doxycycline pearls
DAILY
all start 1-2 d before departure
not safe in pregnancy
malaria ppx options that are safe for pregnant women and children
chloroquine
mefloquine
tafenoquine
chloroquine start and stop time for malaria ppx
start 1-2 weeks before travel and stop 4 weeks after return
mefloquine start and stop time for malaria ppx
start 2+ weeks before travel and stop 4 weeks after return
