Toxoplasmosis cerebri (Toxoplasma gondii)
Advices
Priority | Medication | Remarks |
---|---|---|
Priority: 1st choice |
Medication: sulfadiazine po 1000mg 4dd +
pyrimethamine po loading dose 200mg, 50mg 1dd +
folinezuur po 15mg 1dd |
|
Priority: 2nd choice |
Medication: clindamycine po 600mg 4dd +
pyrimethamine po loading dose 200mg, 50mg 1dd +
folinezuur po 15mg 1dd |
Remarks:
Regime voor patiënten die geen sulfadiazine kunnen gebruiken |
Priority: 3rd choice |
Medication: atovaquon po 1500mg 2dd +
pyrimethamine po loading dose 200mg, 50mg 1dd +
folinezuur po 15mg 1dd |
Remarks:
atovaquon is uitsluitend beschikbaar als suspensie |
Priority: 3rd choice alternative |
Medication: cotrimoxazol (trimethoprim + sulfamethoxazol) po 30mg/kg 2dd |
Remarks:
LET OP: cotrimoxazol 30 mg/kg = 5 mg/kg trimethoprim + 25 mg/kg sulfamethoxazol |
Priority | Medication | Remarks |
---|---|---|
Priority: 1st choice |
Medication: sulfadiazine po 1500mg 4dd +
pyrimethamine po loading dose 200mg, 75mg 1dd +
folinezuur po 15mg 1dd |
|
Priority: 2nd choice |
Medication: clindamycine po 600mg 4dd +
pyrimethamine po loading dose 200mg, 75mg 1dd +
folinezuur po 15mg 1dd |
Remarks:
Regime voor patiënten die geen sulfadiazine kunnen gebruiken |
Priority: 3rd choice |
Medication: atovaquon po 1500mg 2dd +
pyrimethamine po loading dose 200mg, 75mg 1dd +
folinezuur po 15mg 1dd |
Remarks:
atovaquon is uitsluitend beschikbaar als suspensie |
Priority: 3rd choice alternative |
Medication: cotrimoxazol (trimethoprim + sulfamethoxazol) po 30mg/kg 2dd |
Remarks:
LET OP: cotrimoxazol 30 mg/kg = 5 mg/kg trimethoprim + 25 mg/kg sulfamethoxazol |
Priority | Medication | Remarks |
---|---|---|
Priority: 1st choice |
Medication: sulfadiazine po 1500mg 2dd +
pyrimethamine po 25mg 1dd +
folinezuur po 15mg 1dd |
Remarks:
sulfadiazine: bij gewicht <60 kg: 2dd 1000 mg |
Priority: 2nd choice |
Medication: clindamycine po 600mg 3dd +
pyrimethamine po 25mg 1dd +
folinezuur po 15mg 1dd |
|
Priority: 3rd choice |
Medication: cotrimoxazol (trimethoprim + sulfamethoxazol) po 960mg 2dd |
|
Priority: 4th choice |
Medication: atovaquon po 750mg 2dd |
Remarks:
atovaquon is uitsluitend beschikbaar als suspensie |
Sources
- Toxoplasma gondii encephalitis
-
NVP therapierichtlijn 2020_30.pdf
Therapierichtlijn Parasitaire infecties 2020, Nederlandse Vereniging voor Parasitologie
Antimicrobial resources
The following antimicrobial agents have been used in these recommendations:
External antimicrobial resources
Menu position
Metadata
Swab vid: G-501417.2
Updated: 11/14/2023 - 10:56
Status: Published
General comments