LWI 5.1 Pneumonie - (fungaal) Pneumocystis jirovecii (PJP)
Advices
| Priority | Medication | Remarks |
|---|---|---|
|
Priority: 1st choice |
Medication: cotrimoxazol (trimethoprim +sulfamethoxazol) 1600/320mg 3dd 21 days |
Remarks:
indien milde klachten per os behandelen Bij gewicht <50kg: 1440 mg iv, 3dd 21dagen |
|
Priority: 2nd choice |
Medication: clindamycine iv 600mg 3dd 21 days +
primaquine po 30mg 1dd 21 days |
Remarks:
bij overgevoeligheid cotrimoxazol Primaquine niet toedienen bij glucose-6-fosfaat dehydrogenasedeficiëntie |
|
Priority: 2nd choice |
Medication: dapsone po 100mg 1dd 21 days +
trimethoprim po 300mg 1dd 21 days |
Remarks:
bij overgevoeligheid cotrimoxazol |
|
Priority: 2nd choice |
Medication: atovaquon po 750mg 2dd 21 days |
Remarks:
suspensie, innemen met voedsel |
| Priority | Medication | Remarks |
|---|---|---|
|
Priority: 1st choice |
Medication: cotrimoxazol (trimethoprim +sulfamethoxazol) iv 1920mg 3dd 21 days |
|
|
Priority: 2nd choice |
Medication: clindamycine iv 600mg 3dd 21 days +
primaquine po 30mg 1dd 21 days |
Remarks:
Bij overgevoeligheid cotrimoxazol
Of clindamycine 3dd 600 mg po |
|
Priority: 2nd choice |
Medication: pentamidine iv 4mg/kg 1dd 21 days |
Sources
Antimicrobial resources
The following antimicrobial agents have been used in these recommendations:
External antimicrobial resources
Menu position
Metadata
Swab vid: G-142945.11
Updated: 02/10/2023 - 16:08
Status: Published
General comments
Bij pO2 < 9 kPa toevoegen prednison:
Na behandeling secundaire profylaxe.