Page 71 - HPP ANTIMICROBIAL GUIDELINE 2018
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GASTROINTESTINAL INFECTIONS
Suggested Treatment
Infection/ Condition Comments
Preferred Alternative
Oropharyngeal Candidiasis
Mild Nystatin suspension 500 000 units PO q6h Itraconazole 200mg PO q24h Duration: 7-14 days
Moderate to severe Fluconazole 100-200mg PO q24h
Candida Esophagitis Fluconazole 200-400mg PO q24h Itraconazole 200mg PO q24h Duration: 14 days
Herpes simplex virus
Immunocompetent host Acyclovir 400mg PO q8h for 7 days
Immunocompromised host Acyclovir 400mg PO q8h for 14 days
Helicobacter pylori *Proton Pump Inhibitors(PPI) PO Recurrence of H.pylori disease/ Duration: 14 days
macrolide exposure
PLUS Avoid antibiotics that have been
Clarithromycin 500mg PO q12h previously taken.
PLUS
Amoxicillin 1gm PO q12h
OR
Metronidazole 400mg PO q12h
(if penicillin allergy)
References:
1. American College of Gastroenterology guideline: Treatment of Helicobacter pylori Infection 2017; 112:212-238
HPP AMG Gastrointestinal Infections 30
