Drug Recommendations for Acute Diarrhea
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Questions and Answers

Which drug has a strong recommendation with high quality of evidence for the treatment of cholera?

  • Ciprofloxacin 2 g PO single dose
  • Azithromycin 1 g PO single dose (correct)
  • Doxycycline 100 mg PO twice a day for 3 days
  • Metronidazole 500 mg three times a day
  • What is the treatment regimen recommended for adults with non-typhoidal Salmonella dysentery?

  • Ciprofloxacin 500 mg PO twice a day for 5 days (correct)
  • Azithromycin 1 g PO single dose
  • Ceftriaxone 1 g IV once a day for 10 days
  • Doxycycline 100 mg PO twice a day for 3 days
  • Which alternative antimicrobial may be used for amoebiasis in addition to metronidazole?

  • Azithromycin 1 g PO single dose
  • Tinidazole 2 g once a day for 5 days
  • Ciprofloxacin 500 mg twice a day
  • Diloxanide furoate 500 mg three times a day (correct)
  • What is the recommended treatment for adults with Shigella dysentery once culture results are available?

    <p>Modification of antimicrobial therapy</p> Signup and view all the answers

    Which of the following drugs is recommended with low to moderate quality of evidence for cholera treatment?

    <p>Ciprofloxacin 1-2 g PO single dose</p> Signup and view all the answers

    Which of the following drugs for cholera has the lowest quality of evidence?

    <p>Doxycycline 100 mg PO twice a day</p> Signup and view all the answers

    Which antimicrobial can be used in the treatment of amoebiasis as a monotherapy?

    <p>Secnidazole 2 g single dose</p> Signup and view all the answers

    For which condition is ciprofloxacin recommended as both a monotherapy and an alternative drug?

    <p>Shigella dysentery</p> Signup and view all the answers

    What is the recommended duration of treatment for adults with confirmed amoebiasis using metronidazole?

    <p>10 days</p> Signup and view all the answers

    Which drug is NOT recommended for adults with suspected or confirmed cholera?

    <p>Metronidazole</p> Signup and view all the answers

    Which of the following antibiotics has a strong recommendation for treatment of Shigella dysentery based on moderate to high quality of evidence?

    <p>Azithromycin 1 g PO single dose</p> Signup and view all the answers

    What is the primary reason for modifying antimicrobial therapy after culture results are available for non-typhoidal Salmonella infection?

    <p>To ensure the treatment is appropriate for the identified strain</p> Signup and view all the answers

    Which drug is recommended for treating cholera at a single 1 g dose but has a quality of evidence that is categorized differently than others in the same group?

    <p>Azithromycin 1 g PO single dose</p> Signup and view all the answers

    Which of the following is a second-line alternative for amoebiasis alongside metronidazole?

    <p>Secnidazole 2 g single dose</p> Signup and view all the answers

    In the treatment of cholera, how many times a day is doxycycline recommended if used?

    <p>Twice a day for 3 days</p> Signup and view all the answers

    Study Notes

    Cholera

    • Recommended drugs for cholera include Azithromycin (1 g PO single dose), showing strong recommendation and high quality of evidence.
    • Ciprofloxacin may be given as 1-2 g PO single dose or 500 mg twice a day for 3 days, with a strong recommendation but lower quality of evidence.
    • Doxycycline (100 mg PO twice a day for 3 days) serves as an alternative treatment, also with a strong recommendation but low to moderate evidence quality.

    Shigella Dysentery

    • Treatment options for Shigella dysentery include Ceftriaxone (1 g IV once daily for 5 days) or Ciprofloxacin (500 mg PO twice a day for 5 days), both strongly recommended with moderate to high quality of evidence.
    • Azithromycin (1 g PO single dose) is another recommended option for treatment.
    • Antimicrobial therapy can be adjusted based on culture results once available.

    Non-Typhoidal Salmonella

    • Recommended treatments for non-typhoidal Salmonella dysentery include Ciprofloxacin (500 mg PO twice a day for 5 days) and Ceftriaxone (1 g IV once daily for 5 days), with strong recommendations and variable evidence quality.
    • Adjustments to antimicrobial therapy can be made after culture results are obtained.

    Amebiasis

    • Confirmed amoebiasis is treated with Metronidazole (500-750 mg tablet three times a day for 10 days), receiving a strong recommendation and high quality of evidence.
    • Alternative treatments include Tinidazole (2 g once a day for 3 days) and Secnidazole (2 g single dose), both strongly recommended with high evidence quality.
    • Diloxanide furoate (500 mg three times a day) may be used alongside Metronidazole if accessible.

    Cholera

    • Recommended drugs for cholera include Azithromycin (1 g PO single dose), showing strong recommendation and high quality of evidence.
    • Ciprofloxacin may be given as 1-2 g PO single dose or 500 mg twice a day for 3 days, with a strong recommendation but lower quality of evidence.
    • Doxycycline (100 mg PO twice a day for 3 days) serves as an alternative treatment, also with a strong recommendation but low to moderate evidence quality.

    Shigella Dysentery

    • Treatment options for Shigella dysentery include Ceftriaxone (1 g IV once daily for 5 days) or Ciprofloxacin (500 mg PO twice a day for 5 days), both strongly recommended with moderate to high quality of evidence.
    • Azithromycin (1 g PO single dose) is another recommended option for treatment.
    • Antimicrobial therapy can be adjusted based on culture results once available.

    Non-Typhoidal Salmonella

    • Recommended treatments for non-typhoidal Salmonella dysentery include Ciprofloxacin (500 mg PO twice a day for 5 days) and Ceftriaxone (1 g IV once daily for 5 days), with strong recommendations and variable evidence quality.
    • Adjustments to antimicrobial therapy can be made after culture results are obtained.

    Amebiasis

    • Confirmed amoebiasis is treated with Metronidazole (500-750 mg tablet three times a day for 10 days), receiving a strong recommendation and high quality of evidence.
    • Alternative treatments include Tinidazole (2 g once a day for 3 days) and Secnidazole (2 g single dose), both strongly recommended with high evidence quality.
    • Diloxanide furoate (500 mg three times a day) may be used alongside Metronidazole if accessible.

    Cholera

    • Recommended drugs for cholera include Azithromycin (1 g PO single dose), showing strong recommendation and high quality of evidence.
    • Ciprofloxacin may be given as 1-2 g PO single dose or 500 mg twice a day for 3 days, with a strong recommendation but lower quality of evidence.
    • Doxycycline (100 mg PO twice a day for 3 days) serves as an alternative treatment, also with a strong recommendation but low to moderate evidence quality.

    Shigella Dysentery

    • Treatment options for Shigella dysentery include Ceftriaxone (1 g IV once daily for 5 days) or Ciprofloxacin (500 mg PO twice a day for 5 days), both strongly recommended with moderate to high quality of evidence.
    • Azithromycin (1 g PO single dose) is another recommended option for treatment.
    • Antimicrobial therapy can be adjusted based on culture results once available.

    Non-Typhoidal Salmonella

    • Recommended treatments for non-typhoidal Salmonella dysentery include Ciprofloxacin (500 mg PO twice a day for 5 days) and Ceftriaxone (1 g IV once daily for 5 days), with strong recommendations and variable evidence quality.
    • Adjustments to antimicrobial therapy can be made after culture results are obtained.

    Amebiasis

    • Confirmed amoebiasis is treated with Metronidazole (500-750 mg tablet three times a day for 10 days), receiving a strong recommendation and high quality of evidence.
    • Alternative treatments include Tinidazole (2 g once a day for 3 days) and Secnidazole (2 g single dose), both strongly recommended with high evidence quality.
    • Diloxanide furoate (500 mg three times a day) may be used alongside Metronidazole if accessible.

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    Description

    This quiz covers recommended drug treatments for various infections, including cholera and Shigella. You'll learn about the specific medications, dosages, and the level of evidence supporting their use. Test your knowledge on effective treatments and improve your understanding of infectious disease management.

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