Le métronidazole (Flagyl) reste la référence dans le traitement des infections anaérobies et des parasitoses comme la giardiase ou l’amibiase. Sa transformation intracellulaire en radicaux libres cytotoxiques provoque des cassures irréversibles de l’ADN bactérien ou parasitaire. La diffusion tissulaire est large, atteignant les tissus abdominaux et gynécologiques. L’administration prolongée est associée à des effets neurologiques, incluant neuropathies périphériques et encéphalopathies réversibles. L’association avec l’alcool déclenche une réaction de type antabuse. Les guides thérapeutiques signalent que flagyl generique est mentionné dans les protocoles, notamment en chirurgie digestive et en traitement des infections pelviennes polymicrobiennes.

Microsoft word - 1.9.1ab-case study 9.doc

CASE STUDY:9 An example of “Marathonning’ - Over a 1 year
C = Recovery Facilitator
WEEK 1: Mother phones C (business contact) requesting help
for son – long term (10 years) polydrug user, including heroin,
having ‘tried every program there is’ including Methadone and 6 hours
Naltrexone in the past. 9 had become a recluse in his own room,
a chronic poly drug user, in 20s, had dropped out of uni some
time ago. C visits 9 in parents home – 9 agrees to contract with
C to work on recovery and several visits during week.
WEEK 2: C meets 9 at home with parents present - persuades 6 hours
to get ready to go for a walk and explores history and issues for
9.
Root of problem discovered - 9 was ashamed of his physical appearance, had low self esteem, felt left behind by peers, depressed and injunctions: DON’T MAKE IT, DON’T BE IMPORTANT, BE STRONG, DON’T BE CLOSE. Several visits per week. WEEK 3: C decides on physical exercise strategy and gains 9 hours
agreement with 9 – calls every day x 6 days early morning to go
for walk with 9. Some days C had to wait outside waiting for 9 to
get out of bed assisted by parents. C persisted in encouraging
this pattern to increase endorphin levels and improve physical
health and appetite.
WEEK 4: C continues to call each morning 6 days per week and 9 hours
go walking/jogging with 9. 9 gradually comes out of shell and
starts to reduce drug taking.
CASE STUDY:9 An example of “Marathonning’ - Over a 1 year
C = Recovery Facilitator

WEEK 5: C continues to visit early mornings for exercise 9 hours
counseling. During other times 9 starts to lift weights at home
and general health improves, with increased appetite and weight
gain.
WEEK 6: Intermittent morning visits with counseling and 6 hours
motivation – 9 continues to lift weights and occasionally takes
dog for walk on own. Depression starting to lift and drug use
ceasing.
WEEK 7: C continues intermittent morning visits and also talks 6 hours
with family members to mediate to increase understanding and
improve interpersonal relationships.
MONTHS 2 – 4
C reduces contact and 9 continues to exercise with weights and 78 hours voluntarily continues early morning walks with dog. As physical appearance improves 9 gains more confidence and has marked improvement of mood and motivation. MONTHS 4 -6
C spends time negotiating and arranging manual labour work 78 hours opportunity for 9 who reluctantly agrees to follow up, but eventually will not follow through. Weekly visits continue and 9 continues to exercise daily – muscular appearance now and parents amazed at progress. CASE STUDY:9 An example of “Marathonning’ - Over a 1 year
C = Recovery Facilitator

MONTHS 6 – 9
9 Feels confident enough to return to uni to complete a final unit 39 hours which will complete his degree. Appearance has changed from thin, unhealthy and wasted to muscular build, healthy, ‘movie star’ looks and positive mood. Intermittent contacts with C continue. 9 -12 MONTHS - Graduated by C
9 has completed his degree and has secured and started a well paid professional position with large company which he enjoys. Total hours:

Source: http://www.b-attitudes.org.au/pdfs/casestudy9.pdf