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campylobacter

Campylobacter

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summary of Rx

  • Campylobacter is a relatively common cause of enteritis and usually diagnosed on stool culture
  • most patients do not need specific Rx as it is usually self limiting
  • asymptomatic contacts do not need either stool cultures or treatment.
  • all patients with positive stool cultures should be notified to State Govt - see in infectious diseases
  • antibiotic Rx may shorten the duration of faecal carriage following resolution of symptoms.
  • patients with severe symptoms, prolonged symptoms, 3rd trimester pregnancy, food handlers or childcare assistances may be considered for either:
      • adults 500 mg (child: 10 mg/kg up to 500 mg) orally, 6-hourly for 5 to 7 days
      • or erythromycin (ethyl succinate formulation) adult 800 mg (child: 20 mg/kg up to 800 mg) orally, 6-hourly for 5 to 7 days
      • adults 400 mg (child: 10 mg/kg up to 400 mg) orally, 12-hourly for 5 days
  • bacteraemic disease occurs rarely and may need treatment with gentamicin or ciprofloxacin.
  • resistance to macrolide antibiotics and fluoroquinolones appears to be increasing.
campylobacter.txt · Last modified: 2009/02/18 11:47 (external edit)