Sandbox Turky2: Difference between revisions

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! Pathogen !! Immunocompetent patients !! Immunocompromised patients
! Pathogen !! Immunocompetent patients !! Immunocompromised patients
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|- align="center"  
|'''Shigella species''' || [[TMP-SMZ]], 160 and 800 mg, respectively (pediatric dose, 5 and 25 mg/kg, respectively) b.i.d. 3 3 d (if susceptiblea ) or [[fluoroquinoloneb]] (e.g., 300 mg ofloxacin, 400 mg norfloxacin [186], or 500 mg ciprofloxacin b.i.d. 3 3 d); [[nalidixic acid]], 55 mg/kg/d (pediatric) or 1 g/d (adults) 3 5 d [220] or [[ceftriaxone]] azithromycin [121] || 3 7–10 d
|'''Shigella species''' || [[TMP-SMZ]], 160 and 800 mg, respectively (pediatric dose, 5 and 25 mg/kg, respectively) b.i.d. 3 3 d (if susceptiblea ) or [[fluoroquinolone]] (e.g., 300 mg ofloxacin, 400 mg norfloxacin, or 500 mg ciprofloxacin b.i.d. 3 3 d); [[nalidixic acid]], 55 mg/kg/d (pediatric) or 1 g/d (adults) 3 5 d [220] or [[ceftriaxone]] azithromycin || 3 7–10 d
|- align="center"
|- align="center"
|style="background:pink" width="20%" |'''Non-typhi species of Salmonella''' || Not recommended routinely (E-I) [59,60], but if severe or patient is !6 mo or 150 y old or has prostheses, valvular heart disease, severe atherosclerosis, malignancy, or uremia, [[TMP-SMZ]] (if susceptible) or [[fluoroquinolone]] as above, b.i.d. 3 5–7 d; ceftriaxone, 100 mg/kg/d in 1 or 2 divided doses  ||  14 d (or longer if relapsing)
|style="background:pink" width="20%" |'''Non-typhi species of Salmonella''' || Not recommended routinely, but if severe or patient is !6 mo or 150 y old or has prostheses, valvular heart disease, severe atherosclerosis, malignancy, or uremia, [[TMP-SMZ]] (if susceptible) or [[fluoroquinolone]] as above, b.i.d. 3 5–7 d; ceftriaxone, 100 mg/kg/d in 1 or 2 divided doses  ||  14 d (or longer if relapsing)


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Revision as of 17:35, 29 May 2015


GI infection
Pathogen Immunocompetent patients Immunocompromised patients
Shigella species TMP-SMZ, 160 and 800 mg, respectively (pediatric dose, 5 and 25 mg/kg, respectively) b.i.d. 3 3 d (if susceptiblea ) or fluoroquinolone (e.g., 300 mg ofloxacin, 400 mg norfloxacin, or 500 mg ciprofloxacin b.i.d. 3 3 d); nalidixic acid, 55 mg/kg/d (pediatric) or 1 g/d (adults) 3 5 d [220] or ceftriaxone azithromycin 3 7–10 d
Non-typhi species of Salmonella Not recommended routinely, but if severe or patient is !6 mo or 150 y old or has prostheses, valvular heart disease, severe atherosclerosis, malignancy, or uremia, TMP-SMZ (if susceptible) or fluoroquinolone as above, b.i.d. 3 5–7 d; ceftriaxone, 100 mg/kg/d in 1 or 2 divided doses 14 d (or longer if relapsing)