Gastroenteritis

Base treatment on the presence of fecal leukocytes or clinical picture:

1. Ciprofloxacin (Cipro) 500 mg PO bid [C]

2. TMP/SMX DS (Bactrim DS, Septra DS) 1 tablet PO bid [C; D in 3rd trimester] PLUS (to cover Campylobacter)

Erythromycin 500 mg PO qid [B, except estolate contraindicated]

3. Amoxicillin/clavulanate (Augmentin) 500 mg PO tid PLUS (to cover Campylobacter)

Erythromycin 500 mg PO qid [B, except estolate contraindicated] Course: 3-5 days

Organisms: Shigella, Salmonella, Campylobacter, enteroinvasive E. coli, Yersinia Helicobacter pylori (associated with non-NSAID induced duodenal or gastric ulcers) Regimen A (Note four drug therapy)

Bismuth subsalicylate (Pepto-Bismol) 2 tabs PO qid with meals and at bedtime [D] PLUS

Metronidazole (Flagyl) 500 mg PO bid OR 250 mg PO qid with meals and at bedtime [B, contraindicated 1st trimester] PLUS

Tetracycline (Achromycin) 500 mg PO qid before meals and at bedtime [D] (doxycycline has lower efficacy; do not substitute) PLUS

Omeprazole (Prilosec) 20 mg PO bid before meals [C] Regimen B (Note three drug therapy)

Metronidazole (Flagyl) 500 mg PO bid OR 250 mg PO qid with meals and at bedtime [B, contraindicated 1st trimester] OR

Amoxicillin (Amoxil) 1 g PO bid OR 500 mg PO qid [B]

Was this article helpful?

0 0
Dealing With Back Pain

Dealing With Back Pain

Deal With Your Pain, Lead A Wonderful Life An Live Like A 'Normal' Person. Before I really start telling you anything about me or finding out anything about you, I want you to know that I sympathize with you. Not only is it one of the most painful experiences to have backpain. Not only is it the number one excuse for employees not coming into work. But perhaps just as significantly, it is something that I suffered from for years.

Get My Free Ebook


Post a comment