Norovirus infection medical therapy

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Treatment includes replacing fluids lost from vomiting and diarrhea and correcting electrolyte disturbances. Oral rehydration fluids and giving fluids intravenously are used for severe dehydration. Antimicrobial agents are not recommended to treat norovirus infection.

Medical Therapy

  • Supportive care is the mainstay of therapy for norovirus infection.
  • Norovirus infection cannot be treated with antibiotics because it is a viral (not a bacterial) infection.
  • Dehydration is the most common complication that may require medical care.
    • Treatment includes replacing fluids lost from vomiting and diarrhea and correcting electrolyte disturbances. Oral rehydration fluids and giving fluids intravenously are used for severe dehydration. Sports drinks and other drinks without caffeine or alcohol can help with mild dehydration. But, these drinks may not replace important nutrients and minerals.
  • Avoid giving antimotility drugs to children younger than 3 years old. However, these agents may be helpful in older children and adults, particularly when used along with rehydration treatment. Antiemetic agents generally should be given to adults only. Antibiotics are of no benefit in treating norovirus infections.

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