Aeromonas species

If Aeromonas species are identified on culture, for susceptible species, use:

1 ciprofloxacin 500 mg (child: 12.5 mg/kg up to 500 mg) orally, 12-hourly12. For dosage adjustment in adults with kidney impairment, see ciprofloxacin oral dosage adjustment wound infection, aeromonas species ciprofloxacin    

OR

1 trimethoprim+sulfamethoxazole 320+1600 mg (child 1 month or older: 8+40 mg/kg up to 320+1600 mg) orally, 12-hourly. For dosage adjustment in adults with kidney impairment, see trimethoprim+sulfamethoxazole dosage adjustment. wound infection, aeromonas species trimethoprim + sulfamethoxazole    

The total duration of therapy (empirical + directed) for uncomplicated infection is 14 days. Longer courses may be required for severe infection depending on clinical response.

1 An oral liquid formulation of ciprofloxacin is not commercially available; for formulation options for children or people with swallowing difficulties, see the Don’t Rush to Crush Handbook, published by the Society of Hospital Pharmacists of Australia [URL].Return
2 Ciprofloxacin is not licensed for use in children on the basis of animal studies that showed an adverse effect on cartilage development with quinolone use; however, there are few data from human trials to support this finding. Ciprofloxacin can be used in children when it is the drug of choice. Return