Amoebiasis
Uganda2023
Clinical management of Amoebiasis in Uganda
Uganda Clinical Guidelines 2023 · all from source →
General Adult
Diagnosis
1.
Amoebic Dysentery
Persistent mucoid/bloody diarrhoea. Abdominal pain, tenesmus. Chronic carriers symptomless.
2.
Amoebic Abscess (Liver)
Swelling/pain in right sub-costal area, fever, chills, sweating, weight loss. Stool microscopy for cysts and motile organisms (E. histolytica).
Treatment
1.
Pharmacological Treatment
Correct dehydration. Metronidazole 800 mg every 8 hours for 10 days (Child: 10 mg/kg per dose) OR Tinidazole 2 g daily for 5 days (Child: 50 mg/kg per dose). Take after food.
2.
Contraindications
Metronidazole/Tinidazole: DO NOT use in 1st trimester of pregnancy. Avoid alcohol during treatment and for 48 hours thereafter.
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