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Pneumocystis carinii pneumonie

Advices

≥ 18 years
Priority Medication Remarks
Medication:

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

Remarks:

milde gevallen evt. per os

Medication:

trimethoprim po 300mg 3dd 21 days

+

dapsone po 100mg 1dd 21 days

Remarks:

overgevoeligheid co-trimoxazol

Medication:

clindamycine iv 600mg 3dd 21 days

+

primaquine po 30mg 1dd 21 days

Remarks:

overgevoeligheid co-trimoxazol

Medication:

atovaquon po 750mg 2dd 21 days

Remarks:

alleen bij niet ernstige PCP,

innemen met voedsel

Medication:

pentamidine iv 4mg/kg 1dd 21 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

Overweeg na behandeling secundaire profylaxe

Sources

Antimicrobial resources

The following antimicrobial agents have been used in these recommendations:

  • cotrimoxazol (trimethoprim +sulfamethoxazol)
  • trimethoprim
  • dapsone
  • clindamycine
  • primaquine
  • atovaquon
  • pentamidine
External antimicrobial resources
Menu position
Metadata

Swab vid: G-498639.1
Updated: 01/21/2020 - 14:30
Status: Published