{
  "schema_version": 1,
  "kind": "condition",
  "id": "campylobacter-infection",
  "name": "Campylobacter Infection",
  "category": "acute",
  "sources": "Egyptian National Drug Formulary - Antimicrobial 2023, Azithromycin monograph, PDF page index 267-268 (printed p258-259), \"General dosing, susceptible infection\". Note: this monograph lists no shigellosis or campylobacter indication - the dose shown is the formulary's general azithromycin course, not an indication-matched regimen. If the project requires indication-matched sourcing, this row needs a WHO or CDC diarrhoeal-disease citation instead. · Egyptian National Drug Formulary - Antimicrobial 2023, Ciprofloxacin monograph, PDF page index 373-374 (printed p364-365). The formulary lists \"infectious diarrhea\" as an adult indication but attaches no dose to it; the 500 mg every 12 hours figure is taken from its nontyphoidal Salmonella GI regimen. There is no shigellosis, campylobacter or Yersinia enterocolitica regimen in this monograph. · WHO. The treatment of diarrhoea: a manual for physicians and other senior health workers, 4th rev. Geneva: WHO; 2005 (IRIS 10665/43209), section 4.3.1 and Table 2",
  "review_status": "reviewed",
  "verified_against": "Egyptian National Drug Formulary - Antimicrobial 2023, Azithromycin monograph, PDF page index 267-268 (printed p258-259), \"General dosing, susceptible infection\". Note: this monograph lists no shigellosis or campylobacter indication - the dose shown is the formulary's general azithromycin course, not an indication-matched regimen. · Egyptian National Drug Formulary - Antimicrobial 2023, Ciprofloxacin monograph, PDF page index 373-374 (printed p364-365). The formulary lists \"infectious diarrhea\" as an adult indication but attaches no dose to it; the 500 mg every 12 hours figure is taken from its nontyphoidal Salmonella GI regimen. There is no shigellosis, campylobacter or Yersinia enterocolitica regimen in this monograph. · WHO. The treatment of diarrhoea: a manual for physicians and other senior health workers, 4th rev. Geneva: WHO; 2005 (IRIS 10665/43209), section 4.3.1 and Table 2 · Campylobacter Infection - disease-level clinical article (campylobacter-infection-clinical.txt)",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 341,
      "generic": "ORS",
      "line": 1,
      "is_adjunct": false,
      "form": "oral.solution",
      "strength_mg": null,
      "adult_dose": "Plan A (no dehydration): Drink as much ORS solution / fluid as desired after each loose stool. Plan B (some dehydration): 2,200 to 4,000 mL of ORS solution over the first 4 hours (up to 750 mL/hour), then reassess.",
      "adult_duration": "Until diarrhoea stops",
      "dose_source": "WHO. The treatment of diarrhoea: a manual for physicians and other senior health workers, 4th rev. Geneva: WHO; 2005 (IRIS 10665/43209), section 4.3.1 and Table 2",
      "rationale": "Standard oral rehydration regimen for infectious diarrhoea of any bacterial cause; Campylobacter causes typical, not cholera-scale, fluid loss.",
      "cautions": [
        "Mainstay of treatment for essentially all patients regardless of whether antibiotics are also given.",
        "Assess and correct dehydration first; use the higher-volume cholera regimen only if profuse watery ('rice-water') stool suggests cholera instead.",
        "Continue feeding/breastfeeding in children alongside ORS.",
        "Reassess or refer for high fever, bloody diarrhoea, signs of dehydration, symptoms lasting more than a week, or an immunocompromised patient."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Plan B (some dehydration): give the child's weight in kg x 75 mL of ORS solution in the first 4 hours, then reassess. Plan A (no dehydration): 50-100 mL after each loose stool under 2 years, 100-200 mL from 2 to 10 years.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": [
        {
          "label": "Under 2 years",
          "age_min_months": 0,
          "age_max_months": 23,
          "dose_text": "50 to 100 mL of ORS after each loose stool (Plan A, no dehydration). With some dehydration, Plan B is by weight at any age."
        },
        {
          "label": "2 to 10 years",
          "age_min_months": 24,
          "age_max_months": 131,
          "dose_text": "100 to 200 mL of ORS after each loose stool (Plan A, no dehydration). With some dehydration, Plan B is by weight at any age."
        }
      ],
      "peds_doses": null,
      "brands": [
        {
          "trade_name": "GLUCOHYDRAN 10 SACHET.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "ARAB DRUG COMPANY (ADCO)",
          "price_egp": 1.75,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": null,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "REHYDRAN N 10 SACHET",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "CID",
          "price_egp": 4.5,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": null,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "REHYDRO ZINC 10 SACHETS",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "CID",
          "price_egp": 7.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": null,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "ORS 20 SACHETS",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "PHAROPHARMA",
          "price_egp": 40.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": null,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "ELECTRO MASH SYRUP 200 ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "MASH PREMIERE",
          "price_egp": 60.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": null,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "FLEXOLYTE ORAL REHYDRATION SOL. 240 ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "KEMPETRO FOR CHEMICAL INDUSTRIES",
          "price_egp": 65.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": null,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "HERO ORS 200 ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "HERO > HERO MEA TRADING",
          "price_egp": 120.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": null,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "SANSO ORS SYRUP 140 ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "AUG PHARMA",
          "price_egp": 400.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": null,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        }
      ],
      "condition_id": "campylobacter-infection"
    },
    {
      "id": 344,
      "generic": "Referral & safety-netting (no drug therapy)",
      "line": 1,
      "is_adjunct": false,
      "form": null,
      "strength_mg": null,
      "adult_dose": null,
      "adult_duration": null,
      "dose_source": "Campylobacter Infection - disease-level clinical article (campylobacter-infection-clinical.txt)",
      "rationale": "Carries the referral criteria and warning signs for this condition, which apply whichever treatment is chosen.",
      "cautions": [
        "RED FLAG - Antibiotics are only indicated for high-risk patients (immunocompromised, elderly) or severe disease (fever, bloody stools, severe abdominal pain) - healthy patients get supportive care only.",
        "RED FLAG - Guillain-Barre syndrome (ascending paralysis) is a delayed post-infectious complication patients should be warned to watch for."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": null,
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [],
      "condition_id": "campylobacter-infection"
    },
    {
      "id": 342,
      "generic": "Azithromycin",
      "line": 2,
      "is_adjunct": false,
      "form": "oral.solid",
      "strength_mg": 500.0,
      "adult_dose": "500 mg once daily",
      "adult_duration": "3 days",
      "dose_source": "Egyptian National Drug Formulary - Antimicrobial 2023, Azithromycin monograph, PDF page index 267-268 (printed p258-259), \"General dosing, susceptible infection\". Note: this monograph lists no shigellosis or campylobacter indication - the dose shown is the formulary's general azithromycin course, not an indication-matched regimen.",
      "rationale": "A 3-day course of azithromycin is the standard first-line antibiotic for severe or prolonged Campylobacter enteritis; the source dose (500 mg once daily) matches this regimen even though the library files the row under otitis media.",
      "cautions": [
        "Paediatric regimen is a day-1 loading dose then a halved daily dose - it cannot be calculated from a single mg/kg figure.",
        "The Egyptian formulary lists no shigellosis or campylobacter indication for azithromycin; the dose shown is its general susceptible-infection dosing.",
        "Preferred over ciprofloxacin for Campylobacter given rising fluoroquinolone resistance.",
        "Reserve for severe, bloody, or prolonged (over 1 week) illness, or in the immunocompromised - most cases are self-limiting and need only rehydration.",
        "QT prolongation risk with other QT-prolonging drugs."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Formulary general dosing for susceptible infection, oral: 10 to 12 mg/kg as a single dose on day 1 (maximum 500 mg), then 5 to 6 mg/kg once daily (maximum 250 mg) for the rest of the course. The day-1 dose and the maintenance dose are different - do not give 10 mg/kg every day. (The flat 10 mg/kg once daily, max 500 mg, is the formulary's intravenous figure.)",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [
        {
          "trade_name": "AZATRIBACT 500MG 3 CAPS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "RIVA PHARMA S.A.E.",
          "price_egp": 13.5,
          "pack_count": 3,
          "unit_price": 4.5,
          "strength_mg": 500.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "GIGAZOCIN 500MG 5 CAPS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "EGPI > PIONEER",
          "price_egp": 27.5,
          "pack_count": 5,
          "unit_price": 5.5,
          "strength_mg": 500.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "SYSTYMYCIN 500MG 3 CAPS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "EGPI > NOVELL PHARMA",
          "price_egp": 21.5,
          "pack_count": 3,
          "unit_price": 7.17,
          "strength_mg": 500.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "AZITHROMASH 500 MG 3 F.C. TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "MASH PREMIERE",
          "price_egp": 48.0,
          "pack_count": 3,
          "unit_price": 16.0,
          "strength_mg": 500.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "AZALIDE 500MG 3 CAPS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "UP PHARMA",
          "price_egp": 52.0,
          "pack_count": 3,
          "unit_price": 17.33,
          "strength_mg": 500.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "AZROLID 500 MG 6 F.C.TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "AMRIYA",
          "price_egp": 126.0,
          "pack_count": 6,
          "unit_price": 21.0,
          "strength_mg": 500.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "ZERAMERATE 500 MG",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "EGPI > GAMMA PHARMA",
          "price_egp": 28.5,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 500.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "DISTABCIN 500 MG 3 DISPERSIBLE TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "EGPI",
          "price_egp": 43.5,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 500.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "ZITHRODOSE 100MG/5ML SUSP. 15ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "EL-OBOUR > AVERROES PHARMA-EGYPT",
          "price_egp": 12.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 100.0,
          "exact_strength": false,
          "exact_form": false,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "ZITHROPHATE 200MG/5ML SUSP. 15ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "ORGANO PHARMA > NOVELL PHARMA",
          "price_egp": 12.75,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 200.0,
          "exact_strength": false,
          "exact_form": false,
          "discontinued": false,
          "also_contains": null
        }
      ],
      "condition_id": "campylobacter-infection"
    },
    {
      "id": 343,
      "generic": "Ciprofloxacin",
      "line": 3,
      "is_adjunct": false,
      "form": "oral.solid",
      "strength_mg": 500.0,
      "adult_dose": "500 mg by mouth every 12 hours.",
      "adult_duration": "3 to 14 days - the formulary's range for nontyphoidal Salmonella GI infection. It gives no duration for shigellosis, campylobacter or yersiniosis.",
      "dose_source": "Egyptian National Drug Formulary - Antimicrobial 2023, Ciprofloxacin monograph, PDF page index 373-374 (printed p364-365). The formulary lists \"infectious diarrhea\" as an adult indication but attaches no dose to it; the 500 mg every 12 hours figure is taken from its nontyphoidal Salmonella GI regimen. There is no shigellosis, campylobacter or Yersinia enterocolitica regimen in this monograph.",
      "rationale": "Alternative antibiotic for bloody or severe Campylobacter enteritis when azithromycin cannot be used, though resistance now makes it second choice.",
      "cautions": [
        "Not routinely first-line in children (formulary note).",
        "The only Yersinia entry in this monograph is plague (Yersinia pestis), a different organism from the yersiniosis on this row - that condition has no formulary support here.",
        "The formulary reserves this enteric regimen for severe illness or patients at high risk of invasive disease.",
        "Second-line only - Campylobacter fluoroquinolone resistance is rising; use azithromycin first when available.",
        "Tendinitis/tendon rupture, QT prolongation, and glycaemic swings are class risks.",
        "Separate from antacids, iron, calcium, or zinc by 2 hours."
      ],
      "peds_mgkg_low": 10.0,
      "peds_mgkg_high": 10.0,
      "peds_max_mg": 500.0,
      "peds_basis": "dose",
      "peds_unit": "mg",
      "peds_note": "Formulary general paediatric dosing for mild to moderate infection: 10 mg/kg per dose twice daily by mouth (immediate release), maximum 500 mg per dose. The formulary's 15 to 20 mg/kg per dose figure is for severe infection and carries a 750 mg per-dose maximum - do not pair 15 mg/kg with a 500 mg cap. Ciprofloxacin is not first-line in children and the formulary gives no paediatric enteric-infection regimen.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": [
        {
          "weight_kg": 10,
          "low_mg": 100,
          "high_mg": 100,
          "capped": false
        },
        {
          "weight_kg": 20,
          "low_mg": 200,
          "high_mg": 200,
          "capped": false
        },
        {
          "weight_kg": 30,
          "low_mg": 300,
          "high_mg": 300,
          "capped": false
        },
        {
          "weight_kg": 40,
          "low_mg": 400,
          "high_mg": 400,
          "capped": false
        }
      ],
      "brands": [
        {
          "trade_name": "QUINOLOROX 500MG 10 F.C. TAB.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "EPCI > ROXXEN",
          "price_egp": 10.0,
          "pack_count": 10,
          "unit_price": 1.0,
          "strength_mg": 500.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "ECACIPROFLOX 500 MG 20 F.C. TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "FUTURE PHARMACEUTICAL INDUSTRIES (FPI) > EGYPTIAN CANADIAN PHARMACEUTICAL",
          "price_egp": 27.0,
          "pack_count": 20,
          "unit_price": 1.35,
          "strength_mg": 500.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "ELMODOXACIN 500MG 10 F.C.TAB.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "EGPI > SEA PHARM",
          "price_egp": 20.0,
          "pack_count": 10,
          "unit_price": 2.0,
          "strength_mg": 500.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "CIPROQUIN 500MG 10 F.C. TAB.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "UNIPHARMA",
          "price_egp": 50.0,
          "pack_count": 10,
          "unit_price": 5.0,
          "strength_mg": 500.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "CIPROFLOXACIN-ORGANO 500 MG 10 F.C.TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "ORGANOPHARMA > ORGANO",
          "price_egp": 63.0,
          "pack_count": 10,
          "unit_price": 6.3,
          "strength_mg": 500.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "CIPROFAR 500MG 10 F.C.TAB.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "PHARCO",
          "price_egp": 69.0,
          "pack_count": 10,
          "unit_price": 6.9,
          "strength_mg": 500.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "CIPROMEGA XL 500MG 10 EXT. REL. F.C.TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "MASH PREMIERE",
          "price_egp": 48.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 500.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "HEROXACIN 500MG 10 SCORED F.C. TAB.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "EGPI > HERO PHARM",
          "price_egp": 69.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 500.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        }
      ],
      "condition_id": "campylobacter-infection"
    }
  ]
}