Aspergillose - invasief, bij influenza
Advices
| Priority | Medication | Remarks |
|---|---|---|
|
Priority: 1st choice |
Remarks:
Indien galactomannan <24h bekend is (ma-vr), dit afwachten. |
|
|
Priority: 1st choice |
Medication: voriconazol iv loading dose 6mg/kg, 4mg/kg 2dd |
Remarks:
Indien BAL galactomannan niet <24h bekend is. |
|
Priority: 1st choice |
Medication: voriconazol iv loading dose 6mg/kg, 4mg/kg 2dd +
anidulafungin iv loading dose 200mg, 100mg 1dd |
Remarks:
Indien BAL galactomannan positief is, gevoeligheid volgt. |
|
Priority: 1st choice |
Medication: voriconazol iv loading dose 6mg/kg, 4mg/kg 2dd +
caspofungine iv loading dose 70mg, 50mg 1dd |
Remarks:
Indien BAL galactomannan positief is, gevoeligheid volgt. |
|
Priority: 1st choice |
Medication: voriconazol iv loading dose 6mg/kg, 4mg/kg 2dd |
Remarks:
Bij voriconazol gevoelige Aspergillose |
|
Priority: 2nd choice |
Medication: amfotericine B liposomaal (Ambisome) iv 3mg/kg 1dd |
Remarks:
Bij contra-indicatie azolen |
|
Priority: 2nd choice |
Medication: isavuconazol iv 200mg 3dd 2 days followed by
isavuconazol iv 200mg 1dd |
Remarks:
Alternatief voor voriconazol |
Sources
Antimicrobial resources
The following antimicrobial agents have been used in these recommendations:
External antimicrobial resources
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Metadata
Swab vid: G-502597.1
Updated: 02/17/2025 - 17:32
Status: Published
General comments
* Indien de galactomannan <24h bekend is (ma-vr), kan worden afgewacht met starten van voriconazol.
Voriconazol i.v. 6 mg/kg gedurende 1 dag, daarna 4 mg/kg.