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Table 3 Table summarizing the recommended antimicrobial treatment regimens to treat invasive non-typhoidal Salmonella infections

From: Invasive non-typhoidal Salmonella infections in sub-Saharan Africa: a systematic review on antimicrobial resistance and treatment

Antibiotic class

Antibiotic agent

Treatment

Recommended dosage and duration

Guideline (country, year)

Recommendation based on

Observational/case studies

Other reviews/guidelines

Evidence in enteric fever

No reference to literature*

Penicillins

Ampicillin, amoxicillin

First or second choice (if susceptible)

Dose:

 Children: 90–200 mg/kg/day in 3 doses/day

 Adults: 10–12 g/day

 

[89]

[91,92,93]

 

[96]

Trimethoprim-sulfamethoxazole

Trimethoprim-sulfamethoxazole

First or second choice (if susceptible)

Dose:

 Children: 40/8 mg/kg/day in 2 doses/day

 Adults: 1600/320 mg/day in 2 doses/day or 24/4.8–30/6 mg/kg/day in 3 doses/day

US, 2019 [97]

US, 2018 [98]

[91, 99, 100]

[91, 92, 94, 95, 101]

 

[93, 96,97,98, 102]

Chloramphenicol

Chloramphenicol

First or second choice (if susceptible)

Dose:

 Children and adults: 50–100 mg/kg/day

 

[75, 89, 100, 103]

[93, 100]

 

[92, 102]

Third-generation cephalosporins

    

[75, 90, 99, 103, 104]

[94, 95, 104]

 

[105]

 

Ceftriaxone

First or second choice

Dose:

 Children: 50–100 mg/kg/day in 1–2 doses/day

 Adults: or 75 mg/kg/day or 1–2 g/day in 1 dose/day

US, 2018 [98]

US, 2019 [97]

US, 2018 [106]

CA, 2019 [107]

FR, 2017 [108]

[89, 91, 100, 109, 110]

[91, 93, 100,101,102, 108,109,110,111]

[5, 92]

[6, 96,97,98, 106, 112]

 

Cefotaxime

First or second choice

Dose:

 Children: 100–200 mg/kg/day in 4 doses/day

 Adults: 1–6 g/day in 3–6 doses/day

US, 2019 [97]

[83, 89, 91, 100, 110, 113]

[91, 93, 100, 101] [110] [111]

 

[97, 112]

 

Ceftazidime, cefoperazone, moxalactam, aztreonam

Second choice

  

[83]

[93, 114]

[92]

 

Fluoroquinolones

   

US, 2018 [106]

FR, 2008 [115]

[6, 90, 99, 100, 104, 116]

[94, 95, 102, 104]

[90]

[96, 105, 106, 117]

 

Ciprofloxacin

First or second choice

Dose:

 Children: 20 mg/kg/day IV or 20–30 mg/kg/day PO in 2 doses/day

 Adults: 800 mg IV or 1000–1500 mg PO in 2 doses/day

US, 2019 [97]

US, 2018 [98]

[5, 75, 89, 92, 109, 110]

[93, 98, 101, 108,109,110]

[115]

[97, 98, 118]

 

Gatifloxacin

Second choice

Dose: 10 mg/kg/day

   

[5]

 
 

Levofloxacin, moxifloxacin

Second choice

Dose:

 Adults: levofloxacin: 750 mg/day PO/IV in 1 dose/day

 Adults: moxifloxacin: 400 mg/day PO/IV in 1 dose/day

US, 2019 [97]

US, 2018 [98]

 

[101]

 

[98]

 

Pefloxacin, ofloxacin, norfloxacin, trovafloxacin

Second choice

  

[110]

[93]

  

Macrolides

Azithromycin

Second choice

Dose:

 Children: 10–20 mg/kg/day PO

CA, 2019 [107]

US, 2018 [106]

US, 2018 [98]

[91]

[91, 102, 107]

[5]

[6, 98, 106]

Carbapenems

Imipenem, ertapenem, meropenem

Second choice

  

[110]

 

[5]

[91, 102]

Tigecycline

Tigecycline

Second choice

    

[5]

[91]

  1. PO per os, IV intravenous, US United States, CA Canada, FR France
  2. *Or only reference to conference proceedings, studies on Salmonella enteritis or in vitro/in vivo experimental studies