Page 222 - HPP ANTIMICROBIAL GUIDELINE 2018
P. 222
GASTROINTESTINAL INFECTIONS
Suggested Treatment
Infection/Condition Comments
Preferred Alternative
Acute gastroenteritis Antibiotics not recommended Oral rehydration is the
Usually viruses eg: rotavirus cornerstone of treatment
Antibiotic therapy may prolong
carriage state of salmonellosis
Dysentery
Shigella, E. coli, Most mild infections resolved spontaneously Ciprofloxacin 12.5mg/kg PO q12h for
Campylobacter without antibiotics 5 days
Mild or uncomplicated Trimethoprim/sulfamethoxazole
(TMP: 10mg/kg/24h) PO in 2 divided doses
for 5 days
Severe Ceftriaxone 25mg/kg q12h IV for 2-5 days
Dysentery Metronidazole 15mg/kg PO q8h for 10 days,
Amoebiasis followed by
Paromomycin 10mg/kg PO q8h for 10 days
Giardiasis Metronidazole 30mg/kg/24h PO once daily for
3 days
HPP AMG Gastrointestinal Infection 106
