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Home Therapy Gastrointestinal infections

Gastro-enteritis - Blastocystis

Advices

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

Niet behandelen
Priority:
 2nd choice 		Medication:

metronidazol 10 days
Priority:
 2nd choice alternative 		Medication:

paromomycine 10 days

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. SWAB Guideline IX - Acute infectieuze diarree
    View all guidelines
  5. 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.

  6. https://amsterdamumc.adult.swabid.nl/nl/node/464923

    therapie parasitaire infecties bij volwassenen Amsterdam UMC (2016)

Antimicrobial resources

The following antimicrobial agents have been used in these recommendations:

  • metronidazol
  • paromomycine
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Metadata

Swab vid: G-390666.3
Updated: 03/26/2021 - 11:28
Status: Published