Infectious colitis medical therapy

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Qasim Salau, M.B.B.S., FMCPaed [2]

Overview

The mainstay of treatment of infectious colitis is the administration of antimicrobials against the causative pathogen. In addition to antimicrobial therapy, general supportive measures is usually given to replace fluid and electrolytes and occasionally blood.

Medical Therapy

• Fluid resuscitation (oral, if not IV)
• Patients should be advised to do the following until symptoms subside:
  • Hydrate with liquids that are caffeine free
  • Avoid lactose
  • Chew gum that is free of sorbitol
  • Eat fresh fruit

Symptomatic Treatment

• Symptomatic treatment for infectious colitis involves the patient consuming adequate amounts of water to correct dehydration, preferably mixed with electrolytes to provide essential salts and some amount of nutrients.

Pathogen Specific

Immunocompetent

• Bacterial