علاج داء الشيغيلات عندما لا يُجدي السيبروفلوكساسين كعلاج من الدرجة الأولى

References

DOI: 10.1080/20469047.2017.1409454

• 2nd-line: pivmecillinam 20 mg/kg orally 4 times daily for 5 days
• OR*: ceftriaxone 50–100 mg/kg intramuscular injection for 2–5 days
• OR: (for adults) azithromycin 6–20 mg/kg, orally once daily for 1–5 days
• The macrolide azithromycin was listed as a second-line therapy for adults.
• With effective antibiotic therapy, clinical improvement occurs within 48 h, resulting in a decreased risk of serious complications and death, shorter duration of symptoms, and the elimination of shigella from the stool.