syfilis (lues)
Advices
Priority | Medication | Remarks |
---|---|---|
Medication: benzathinebenzylpenicilline intramuscular 2.4million. IU one-off |
Remarks:
|
|
Medication: benzathinebenzylpenicilline intramuscular 2.4million. IU 1pw 3 weeks |
Remarks:
Dag 1, 8 en 15 |
|
Medication: benzylpenicilline iv loading dose 4million. IU, 24million. IU continuous per 24 hours 10 to 14 days |
Remarks:
|
Priority | Medication | Remarks |
---|---|---|
Medication: benzathinebenzylpenicilline intramuscular 2.4million. IU 1pw 3 weeks |
Remarks:
Dag 1, 8 en 15 |
|
Medication: benzylpenicilline iv loading dose 4million. IU, 24million. IU continuous per 24 hours 10 to 14 days |
Remarks:
|
Priority | Medication | Remarks |
---|---|---|
Medication: doxycycline po 100mg 2dd 14 days |
Remarks:
|
|
Medication: doxycycline po 100mg 2dd 14 days |
Remarks:
|
|
Medication: ceftriaxon iv 2000mg 1dd 14 days |
Remarks:
|
Sources
-
https://www.soaaids.nl/sites/default/files/multidisciplinair-richtlijn-soa-2018-update-2019.pdf
Multidisciplinaire Richtlijn Seksueel Overdraagbare Aandoeningen, update 2019
- CDC - Sexually Transmitted Infections Treatment Guidelines, 2021
Antimicrobial resources
The following antimicrobial agents have been used in these recommendations:
External antimicrobial resources
Menu position
Metadata
Swab vid: G-501519.2
Updated: 02/08/2024 - 14:42
Status: Published
General comments
Benzathinebenzylpenicilline: evt. 1,2 ME oplossen in 2 mL lidocaïne 20 mg/mL + 2 mL fysiologisch zout, i.m. toedienen in elke bil.
Bij de diagnose syfilis dient altijd een HIV test gedaan te worden.
Bij HIV co-infectie, zwangeren en neurosyfilis zoveel mogelijk behandelen met penicilline
Bij beta-lactam allergie altijd overleg met arts-microbioloog, internist-infectioloog, allergoloog of dermato-veneroloog; overweeg desensibilisatie.