Active Ingredient: Azithromycin
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It is recommended one for people at high risk, such as relief workers in endemic areas. A single 1-gm dose of azithromycin is more effective than ciprofloxacin in the treatment of severe cholera in adults. Azithromycin is also effective for treating cholera in children.
Protection wanes with time, and boosters are needed every two-three years with the polysaccharide vaccine and every 5 years with the oral live vaccine.
The first-line treatment of visceral leishmaniasis is pentavalent antimony meglumine antimoniate or sodium stibogluconate, but toxicity is frequent with this drug.
Pentavalent antimonial compounds remain the mainstay of treatment worldwide, except in India.
During the past decade, short courses of lipid formulations of amphotericin B hae been assessed and proved effective; however, their cost precludes their wide use in developing countries.
Avian influenza A H 5 N 1 is predominantly a disease of birds.
The virus does not pass easily from birds to people and does not to pass from person to person except in very rare cases of close contact with an infected blood relative.
Amantadine and rimantadine are currently not recommended for use in the U. The American Academy of Pediatrics, however, recommends that children should be immunized with the injectable flu vaccine.
Polio is spreading to new countries and increasing where it is endemic.
Giardiasis occurs worldwide, but a higher incidence has been reported in travelers returning from the Indian sub-Continent, Southeast Asia, and Indonesia.
Giardia cysts can be spread easily from person-to-person in households and in day care centers. Poor personal hygiene, lack of hand washing, and close physical contact, especially oral-anal sexual contact, promotes transmission.
Note: Published reports of confirmed giardiasis among outdoor recreationists in North America clearly demonstrate a high incidence among this population.
However, the evidence for an association between drinking backcountry water and acquiring giardiasis is minimal.