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gastroenteritis - Dientamoebiasis (Dientamoeba fragilis)

Advices

1 months - 18 years
Priority Medication Remarks
Priority:
1st choice
Medication:

Remarks:

Geen antibiotica.

1 months - 18 years

Indications: Chronische diarree en na uitsluiting andere oorzaken

Priority Medication Remarks
Priority:
1st choice
Medication:

clioquinol po 10 days

Priority:
2nd choice
Medication:

paromomycine po 7 days

Priority:
3rd choice
Medication:

metronidazol po 10 days

General comments

Symptoomloos dragerschap komt veel voor en behoeft geen behandeling.

Paromomycine is in Nederland niet geregistreerd, maar is een zogeheten "ZFW-middel". Een artsenverklaring kan nodig zijn.

Voor dosering zie: Kinderformularium.

Sources

  1. Pubmed.gov publication # 16380293

    Stark DJ, Beebe N, Marriott D, Ellis JT, Harkness J (2006) Dientamoebiasis: clinical importance and recent advances. Trends Parasitol. 22(2):92-6.

  2. http://ac.els-cdn.com/S2211320712000127/1-s2.0-S2211320712000127-main.pdf?_tid=8042ed40-7172-11e3-81db-00000aab0f02&acdnat=1388422414_e0df1ce2f55d9d6edc83f968eabbaff4

    van Hellemond JJ, Molhoek N, Koelewijn R, Wismans PJ, van Genderen PJJ (2012) Is paromomycin the drug of choice for eradication of Dientamoeba fragilis in adults? Int. J. Parasitol.: Drugs Drug Res. 2, 162-165

  3. http://www.mimg.ucla.edu/faculty/campbell/drugs_for_parasites.pdf

    CDC, Medical Letter 2004, Treatment of parasitic infections

  4. Pubmed.gov publication # 4270059

    Oakley GP 1973. The neurotoxicity of the halogenated hydroxyquinolines. A commentary. JAMA 225:395-7.

  5. SWAB Guideline IX - Acute infectieuze diarree
Antimicrobial resources

The following antimicrobial agents have been used in these recommendations:

  • clioquinol
  • paromomycine
  • metronidazol
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Metadata

Swab vid: G-390119.1
Updated: 05/22/2019 - 09:31
Status: Published