What is the basis of treatment selection for acute gastritis?

Updated: Jul 12, 2020
  • Author: Sarah El-Nakeep, MD; Chief Editor: BS Anand, MD  more...
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Answer

Specific treatment of gastritis is dependent on the underlying etiology.

According to the Centers for Disease Control and Prevention (CDC), the treatment of tuberculosis consists of a 2-month course of daily isoniazid, rifampin, and pyrazinamide, followed by 4-7 months of daily isoniazid along with rifampin. [24] See Tuberculosis.

Medical management (antibiotics, supportive care) is generally ineffective in treating phlegmonous gastritis; surgical intervention is typically required.

Several drugs are available for the treatment of cytomegalovirus (CMV) infection. These include ganciclovir, valganciclovir, foscarnet, and cidofovir. It should be noted that the majority of immunocompetent individuals recover from CMV infection without any therapeutic intervention. See Cytomegalovirus.

The treatment of C albicans includes a variety of agents, including nystatin, oral clotrimazole, itraconazole, fluconazole, amphotericin B, and ketoconazole. See Candidiasis.

The treatment of disseminated histoplasmosis includes several effective agents, including amphotericin B, itraconazole, and fluconazole. See Histoplasmosis.

No drugs are available to treat anisakidosis. Endoscopic removal may be necessary.


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