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gastro-enteritis - Salmonella typhi - buiktyfus

Advices

≥ 18 years

Indications: Bij alle reizigers

Priority Medication Remarks
Priority:
1st choice
Medication:

ceftriaxon iv 2000mg 1dd 7 to 14 days

Remarks:

ongecompliceerde infectie. Als uit Pakistan: dan overleg met medisch microbioloog of infectioloog.

Priority:
1st choice alternative
Medication:

azitromycine po 1000mg

Remarks:

azitromycine po 1000 mg eenmalig, daarna 500 mg po 1dd 5-7 dagen

≥ 18 years

Indications: Bij ernstige typhoid fever

Priority Medication Remarks
Medication:

azitromycine po 500mg 1dd 7 days

+

ceftriaxon iv 2000mg 1dd 7 days

General comments

Meldingsplichtige ziekte groep B2: melden binnen één werkdag na vaststellen van de ziekte.

Sources

  1. - Wain et al. Typhoid fever. Lancet 2015 - Meltzer et al. A large outbreak of Salmonella Paratyphi A infection among Israeli travelers to Nepal. Clin Infect Dis 2014 - Butler et al. Treatment of typhoid fever in the 21st century. Clin Microbiol Infect 2011. - Crump et al. Epidemiology, clinical presentation, laboratory diagnosis, antimicrobial resistance and antimicrobial management of invasive Salmonella infections. Clin Microbiol Rev 2015.

Antimicrobial resources

The following antimicrobial agents have been used in these recommendations:

External antimicrobial resources
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Metadata

Swab vid: G-143196.7
Updated: 10/02/2023 - 18:17
Status: Published