Translations:Acute diarrhea/56/es

Agent	Treatment
Clostridium difficile	Vancomycin 125 mg PO four times daily for 10 days Fidaxomicin 200 mg PO two times daily for 10 days
Campylobacter jejuni	Erythromycin 500mg PO BID x 5 days Ciprofloxacin 500mg PO BID x 5 days OR Azithromycin 500mg PO once daily x 5 days Pediatric: Azithromycin 10mg/kg PO daily x 3 days (max 500mg) Erythromycin 10mg/kg PO QID x 5 days (max 500mg/dose)
Entamoeba histolytica	Metronidazole 750mg PO three times daily for 5-10 days PLUS Paromomycin 500mg q8hrs for 7 days OR Iodoquinol 650mg q 8hrs daily 20 days
Giardia lamblia	Metronidazole 250mg PO q8hrs for 7-10days Tinidazole 2g PO once
Microsporidium	Albendazole 400mg PO BID x 21 days + HAART therapy if HIV positive
Cryptosporidium	Paromomycin 500mg PO q8hrs x 14-28days +HAART therapy if HIV positive
Salmonella (non typhoid)	Treatment is not recommended routinely but should be considered if: Immunocompromised Age<6 mo or >50yo Has any prostheses Valvular heart disease Severe Atherosclerosis Active Malignancy Uremic Options: Immunocompromised patients should have 14 days of therapy TMP/SMX 1 DS tab PO BID x 5 days Ceftriaxone 2g IV once daily x 5 days Levofloxacin 500mg PO once daily x 5 days Ciprofloxacin 500mg PO BID x 5 days Pediatric: Treatment recommended if age <6 months, immunocompromised, or bacteremia Ceftriaxone 50-75mg/kg IV daily x 5 days (max 2g) TMP/SMX 8mg/kg/day (TMP) PO divided BID x 5 days Azithromycin 10mg/kg PO day 1, then 5mg/kg/day x 4 days
Shigella	Treatment extended for 10 days if immunocompromised' Ciprofloxacin 500mg PO BID x 5 days TMP/SMX 1 DS tab PO BID x 5 days Levofloxacin 500mg PO once daily x 5 days Azithromycin 500mg PO daily x 5 days Pediatric: Azithromycin 10mg/kg PO day 1 (max 500mg), then 5mg/kg/day x 4 days Ceftriaxone 50mg/kg IM/IV daily x 5 days (max 2g) TMP/SMX 8mg/kg/day (TMP) PO divided BID x 5 days (if susceptible)
Vibrio Cholerae	Doxycycline 300mg PO as single dose TMP/SMX 1 tablet (5mg/kg) PO BID daily x 3 daily Azithromycin 20mg/kg (1g) PO once
Yersinia enterocolitica	Antibiotics are not required unless patient is immunocompromised or systemically ill Ciprofloxacin 500mg PO BID daily Levofloxacin 500mg PO once daily TMP/SMX 1 DS tab (5mg/kg) PO BID