Table 5: Antibiotic Treatment of Bartonellosis

Antibiotic	Dose / Day	References
Azithormycin	500 mg	[81, 82, 90-96]
Clarithromycin	1000 mg	[89, 91-97]
Telithromycin	800 mg	[89]
Rifampicin	600 mg	[84, 89, 90, 91, 93, 95, 96, 98]
Trimethoprim + sulfamethoxazole	875 / 125 mg 2x daily	[84, 92, 94, 98]
Ciprofloxacin	1000 mg	[84, 89, 92-94, 98]
Doxycycline	400 mg	[86, 89, 90, 91, 94-96]
Minocycline	200-300 mg	[93]
(Other recommendations: erythromycin, roxithromycin, penicillin G, sparfloxacin, chloramphenicol, streptomycin, gentamycin, Augmentin, ticarcillin, cefotaxime, ceftriaxone, meropenem, trimethoprim and sulfamethoxazole. The information in the various publications is very contradictory. This is particularly true for gentamycin. Beta-lactam antibiotics do not act intracellularly and are therefore not suitable for the treatment of bartonellosis (author’s comment) [84,85,87,88,90,91,93,94,97,98-102]. There are substantial discrepancies between in vitro findings and in vivo efficacy.
Duration of treatment (no reliable data basis) Acute early phase	2 weeks
Chronic course	2 - 3 months