Salmonellosis medical therapy

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Salmonellosis Microchapters

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Overview

Historical Perspective

Pathophysiology

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Differentiating Salmonellosis from other Diseases

Epidemiology and Demographics

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Natural History, Complications and Prognosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2] Jolanta Marszalek, M.D. [3]

Overview

Medical Therapy

Treatment of salmonellosis is often symptomatic, with electrolyte replacement and rehydration. Mild cases of salmonelloses usually resolve within 5 to 7 days. Patients with severe cases of the disease may require rehydration, often with intravenous fluids. Antibiotic treatment is not indicated, unless the patient becomes severely dehydrated or septicemia occurs.[1]

Salmonellosis commonly presents with unspecific gastrointestinal symptoms, such as diarrhea, fever, and abdominal pain. Antibiotic treatment of infectious diarrhea is considered controversial because:

  • Symptoms may be caused by different types of enteric pathogens, which makes the initial treatment of severe cases often "empiric"
  • Antibiotic treatment of non-typhoidal salmonellosis prolongs shedding of the bacteria in feces.

Antibiotic Therapy

References

  1. "Salmonella (non-typhoidal)".

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