Page 223 - HPP ANTIMICROBIAL GUIDELINE 2018
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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
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