Home Therapy Gastrointestinal infections
Home Therapy Gastrointestinal infections

gastroenteritis - Blastocystis

Advices

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

SWAB remarks

Niet behandelen
Priority:
 2nd choice 		Medication:

metronidazol 10 days
Remarks:

SWAB remarks

Dosis metronidazol: https://www.kinderformularium.nl/geneesmiddel/100/metronidazol. 
Priority:
 3rd choice 		Medication:

paromomycine 7 days
Remarks:

SWAB remarks

Dosis paromomycine: https://www.kinderformularium.nl/geneesmiddel/25/paromomycine

General comments

Pathogeniciteit van deze darmprotozoa is zeer omstreden, behandeling is dus in principe niet geindiceerd.

Paromomycine is in Nederland niet geregistreerd. Apotheken kunnen het middel met een artsenverklaring bestellen.

Sources

  1. Pubmed.gov publication # 23961439

    Sekar U and Shanthi M (2013) Blastocystis: consensus of treatment and controversies. Trop Parasitol. 3: 35–39.

  2. Pubmed.gov publication # 23053509

    van Hellemond JJ, Molhoek N, Koelewijn R, Wismans PJ, van Genderen PJJ (2013) Is paromomycin the drug of choice for eradication of Blastocystis in adults? J Infect Chemother. 2013 Jun;19(3):545-8

  3. Pubmed.gov publication # 19834337

    Stensvold CR, et al. (2010) Eradication of Blastocystis carriage with antimicrobials: reality or delusion? J Clin Gastroenterol. 44: 85-90

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

    CDC (2004) Drugs for parasitic infections. The Medical Letter 46, 1-12

  5. SWAB Guideline IX - Acute infectieuze diarree
    View all guidelines
  6. Pubmed.gov publication # 12650658

    Nigro L. et al. 2003. A placebo-controlled treatment trial of Blastocystis hominis infection with metronidazole. J Travel Med. 10:128-30.

Antimicrobial resources

The following antimicrobial agents have been used in these recommendations:

  • metronidazol
  • paromomycine
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Metadata

Swab vid: G-272205.4
Updated: 06/17/2023 - 13:58
Status: Published