Norovirus infection medical therapy: Difference between revisions
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==Overview== | ==Overview== | ||
Supportive care is the mainstay of therapy for norovirus infection. Treatment includes | Supportive care is the mainstay of therapy for norovirus infection. Treatment includes oral/IV fluid administration to replace fluids lost from [[vomiting]] and [[diarrhea]] and correcting [[electrolyte disturbances]]. Anti-motility and anti-emetic agents may be administered for symptomatic relief among adults only (controversial efficacy). Antimicrobial agents, including antiviral agents, are generally not recommended to treat norovirus infection. | ||
==Medical Therapy== | ==Medical Therapy== | ||
*Supportive care is the mainstay of therapy for norovirus infection. | *Supportive care is the mainstay of therapy for norovirus infection. | ||
*Antibiotic agents are not recommended since norovirus infection is caused by a virus not a bacterial agent. | *Antibiotic agents are not recommended since norovirus infection is caused by a virus not a bacterial agent. | ||
*Antiviral agents are generally not recommended among patients who are not immunocompromised. | *Antiviral agents are generally not recommended among patients who are not immunocompromised. | ||
*Hospitalized patients should be isolated to prevent further transmission. Healthcare prrofessionals must wear personal protective equipment and practice hand hygiene when exposed to infected patients. To learn more about preventive measures, click [[norovirus infection primary prevention|here]]. | |||
===Supportive Care=== | ===Supportive Care=== | ||
* Rehydration therapy is the most important therapeutic strategy to treat patients with norovirus infection. | * Rehydration therapy is the most important therapeutic strategy to treat patients with norovirus infection. | ||
:* Treatment includes replacing fluids lost from [[vomiting]] and [[diarrhea]] and correcting [[electrolyte disturbances]]. | :* Treatment includes replacing fluids lost from [[vomiting]] and [[diarrhea]] and correcting [[electrolyte disturbances]]. | ||
:* | :*Oral rehydration fluids is indicated among patients who can tolerate oral intake, otherwise IV rehydration is indicated. | ||
*Anti-motility and anti-emetic agents may be administered for symptomatic relief. | *Anti-motility and anti-emetic agents may be administered for symptomatic relief in adults (controversial efficacy, may mask infectivity of patients). However, these agents are contraindicated among pediatric patients due to high risk of associated adverse effects. | ||
*Anti-diarrheal agents are not recommended. | |||
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== References == | == References == | ||
Revision as of 16:50, 8 December 2015
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Norovirus infection Microchapters |
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Diagnosis |
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Case Studies |
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Norovirus infection medical therapy On the Web |
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American Roentgen Ray Society Images of Norovirus infection medical therapy |
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Risk calculators and risk factors for Norovirus infection medical therapy |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Supportive care is the mainstay of therapy for norovirus infection. Treatment includes oral/IV fluid administration to replace fluids lost from vomiting and diarrhea and correcting electrolyte disturbances. Anti-motility and anti-emetic agents may be administered for symptomatic relief among adults only (controversial efficacy). Antimicrobial agents, including antiviral agents, are generally not recommended to treat norovirus infection.
Medical Therapy
- Supportive care is the mainstay of therapy for norovirus infection.
- Antibiotic agents are not recommended since norovirus infection is caused by a virus not a bacterial agent.
- Antiviral agents are generally not recommended among patients who are not immunocompromised.
- Hospitalized patients should be isolated to prevent further transmission. Healthcare prrofessionals must wear personal protective equipment and practice hand hygiene when exposed to infected patients. To learn more about preventive measures, click here.
Supportive Care
- Rehydration therapy is the most important therapeutic strategy to treat patients with norovirus infection.
- Treatment includes replacing fluids lost from vomiting and diarrhea and correcting electrolyte disturbances.
- Oral rehydration fluids is indicated among patients who can tolerate oral intake, otherwise IV rehydration is indicated.
- Anti-motility and anti-emetic agents may be administered for symptomatic relief in adults (controversial efficacy, may mask infectivity of patients). However, these agents are contraindicated among pediatric patients due to high risk of associated adverse effects.
- Anti-diarrheal agents are not recommended.
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