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Pneumocystis jiroveci

Advices

≥ 18 years
Priority Medication Remarks
Medication:

cotrimoxazol (trimethoprim +sulfamethoxazol) iv 1920mg 3dd 14 days

Remarks:

milde gevallen evt. per os

Medication:

cotrimoxazol (trimethoprim +sulfamethoxazol) iv 1440mg 3dd 14 days

Remarks:

gewicht < 50 kg

milde gevallen evt. per os

Medication:

trimethoprim po 300mg 3dd 14 days

+

dapsone po 100mg 1dd 14 days

Remarks:

overgevoeligheid co-trimoxazol

Medication:

clindamycine iv 600mg 3dd 14 days

+

primaquine po 30mg 1dd 14 days

Remarks:

overgevoeligheid co-trimoxazol

Medication:

atovaquon po 750mg 2dd 14 days

Remarks:

suspensie, innemen met voedsel; alleen bij niet ernstige PCP

Medication:

pentamidine iv 4mg/kg 1dd 14 days

Remarks:

laatste lijn

General comments

Bij pO2 < 70 mm Hg of 8-9 kPa toevoegen prednison:

dag 1-5 2 dd 40 mg;
dag 6-10 2 dd 20 mg;
dag 11-14 1 dd 20 mg

Na behandeling secundaire profylaxe

N.B. De behandelingsduur bedraagt 14 dagen

Sources

Antimicrobial resources

The following antimicrobial agents have been used in these recommendations:

External antimicrobial resources
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Metadata

Swab vid: G-352257.4
Updated: 05/16/2019 - 13:09
Status: Published