Dysentery medical therapy: Difference between revisions
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==Medical Therapy== | ==Medical Therapy== | ||
Dysentery is initially managed by maintaining fluid intake using [[oral rehydration therapy]]. If this treatment cannot be adequately maintained due to vomiting or the profuseness of diarrhea, hospital admission may be required for [[intravenous]] fluid replacement. In ideal situations, no antimicrobial therapy should be administered until microbiological microscopy and culture studies have established the specific infection involved. When laboratory services are not available, it may be necessary to administer a combination of drugs, including an [[amebicide|amoebicidal]] drug to kill the [[parasite]] and an [[antibiotic]] to treat any associated bacterial infection. | Dysentery is initially managed by maintaining fluid intake using [[oral rehydration therapy]]. If this treatment cannot be adequately maintained due to [[vomiting]] or the profuseness of [[diarrhea]], hospital admission may be required for [[intravenous]] fluid replacement. In ideal situations, no [[antimicrobial therapy]] should be administered until microbiological [[microscopy]] and culture studies have established the specific infection involved. When laboratory services are not available, it may be necessary to administer a combination of drugs, including an [[amebicide|amoebicidal]] drug to kill the [[parasite]] and an [[antibiotic]] to treat any associated bacterial infection. | ||
If shigella is suspected and it is not too severe, the doctor may recommend letting it run its course — usually less than a week. The patient will be advised to replace fluids lost from diarrhea. If the shigella is severe, the doctor may prescribe antibiotics, such as [[ciprofloxacin]] or [[Trimethoprim/sulfamethoxazole|TMP-SMX]] (Bactrim). However, many strains of shigella are becoming resistant to common antibiotics, and effective medications are often in short supply in developing countries. If necessary, a doctor may have to reserve antibiotics for those at highest risk for death, including young children, people over 50, and anyone suffering from dehydration or malnutrition. | If [[shigella]] is suspected and it is not too severe, the doctor may recommend letting it run its course — usually less than a week. The patient will be advised to replace fluids lost from diarrhea. If the shigella is severe, the doctor may prescribe antibiotics, such as [[ciprofloxacin]] or [[Trimethoprim/sulfamethoxazole|TMP-SMX]] (Bactrim). However, many strains of shigella are becoming resistant to common [[antibiotics]], and effective medications are often in short supply in developing countries. If necessary, a doctor may have to reserve antibiotics for those at highest risk for death, including young children, people over 50, and anyone suffering from [[dehydration]] or [[malnutrition]]. | ||
Amoebic dysentery usually calls for a two-pronged attack. Treatment should start with a 10-day course of the antimicrobial drug [[metronidazole]] (Flagyl). To finish off the parasite, the doctor can prescribe a course of [[diloxanide furoate]] (available only through the Centers for Disease Control and Prevention), [[paromomycin]] (Humatin), or [[iodoquinol]] (Yodoxin). | [[Amoebic dysentery]] usually calls for a two-pronged attack. Treatment should start with a 10-day course of the antimicrobial drug [[metronidazole]] (Flagyl). To finish off the parasite, the doctor can prescribe a course of [[diloxanide furoate]] (available only through the Centers for Disease Control and Prevention), [[paromomycin]] (Humatin), or [[iodoquinol]] (Yodoxin). | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 21:22, 30 November 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Medical Therapy
Dysentery is initially managed by maintaining fluid intake using oral rehydration therapy. If this treatment cannot be adequately maintained due to vomiting or the profuseness of diarrhea, hospital admission may be required for intravenous fluid replacement. In ideal situations, no antimicrobial therapy should be administered until microbiological microscopy and culture studies have established the specific infection involved. When laboratory services are not available, it may be necessary to administer a combination of drugs, including an amoebicidal drug to kill the parasite and an antibiotic to treat any associated bacterial infection.
If shigella is suspected and it is not too severe, the doctor may recommend letting it run its course — usually less than a week. The patient will be advised to replace fluids lost from diarrhea. If the shigella is severe, the doctor may prescribe antibiotics, such as ciprofloxacin or TMP-SMX (Bactrim). However, many strains of shigella are becoming resistant to common antibiotics, and effective medications are often in short supply in developing countries. If necessary, a doctor may have to reserve antibiotics for those at highest risk for death, including young children, people over 50, and anyone suffering from dehydration or malnutrition.
Amoebic dysentery usually calls for a two-pronged attack. Treatment should start with a 10-day course of the antimicrobial drug metronidazole (Flagyl). To finish off the parasite, the doctor can prescribe a course of diloxanide furoate (available only through the Centers for Disease Control and Prevention), paromomycin (Humatin), or iodoquinol (Yodoxin).