Cryptokokkose (cryptococ)
Advices
| Priority | Medication | Remarks | 
|---|---|---|
| 
                                              Medication: amfotericine B liposomaal (Ambisome) iv 3mg/kg 1dd minimum 2 weeks + 
                                                                            flucytosine iv 25mg/kg 4dd minimum 2 weeks  | 
                    
                                               
                          Remarks: 
                           
                                          SWAB remarks meningitis, inductietherapie  | 
                  |
| 
                                              Medication: fluconazol po loading dose 800mg, 400mg 1dd minimum 8 weeks  | 
                    
                                               
                          Remarks: 
                           
                                          SWAB remarks consolidatietherapie, bij stabiele en goed responderende patiënt na 2 weken  | 
                  |
| 
                                              Medication: fluconazol po 200mg 1dd  | 
                    
                                               
                          Remarks: 
                           
                                          SWAB remarks secundaire profylaxe bij persisterende afweerstoornis  | 
                  |
| 
                                              Medication: fluconazol po 200mg 1dd 6 to 12 months  | 
                    
                                               
                          Remarks: 
                           
                                          SWAB remarks secundaire profylaxe bij solide orgaantransplantaties | 
                  |
| 
                                              Medication: fluconazol po loading dose 800mg, 400mg 1dd 6 to 26 weeks  | 
                    
                                               
                          Remarks: 
                           
                                          SWAB remarks milde extrameningeale cryptokokkose. Ernstig: zie meningitis.  | 
                  
Sources
Antimicrobial resources
The following antimicrobial agents have been used in these recommendations:
External antimicrobial resources
Menu position
Metadata
            Swab vid: G-8383.3
            Updated: 05/30/2018 - 13:30
            Status: Published
          
          
          
          
General comments
Bij extrameningeale cryptokokkose cryptokokkenmeningitis altijd middels liquorpunctie uitsluiten.