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Recommendations

≥ 18 years
Dosage Remarks
1st choice
azithromycin po 500 mg once daily for 3 days
1st choice
ceftriaxone iv 2000 mg once daily for 5 days

SWAB remarks

If IV treatment is necessary

2nd choice
ciprofloxacin po 500 mg twice daily for 5 days

or

ciprofloxacin iv 400 mg twice daily for 5 days

SWAB remarks

If susceptibility is confirmed

Comments

No treatment unless infection is severe.

Always treat shigellosis in immunocompromised individuals, including people with HIV infection. The recommended duration of treatment when using ciprofloxacin in this case is 7 days.

Notifiable disease, group B2.