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
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.
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. Antimotility therapy is generally not indicated and may even be deleterious in the treatment of infectious colitis.[1][2]
- The following supportive measures/ advice can be given:
Pathogen Specific
- The mainstay of therapy is given antimicrobials against the specific identified pathogen.[1][2]
- The specific antimicrobial treatment of infectious colitis depends on the pathogen causing infectious colitis as follows:
- Shigella spp.
- Campylobacter jejuni
- Clostridium difficile
- Escherichia coli
- Nontyphoidal Salmonella
- Entameoba histolytica
- Chlamydia trachomatis
- Cytomegalovirus
- Yersinia enterocolitica
References
- ↑ 1.0 1.1 DuPont HL (2012). "Approach to the patient with infectious colitis". Curr Opin Gastroenterol. 28 (1): 39–46. doi:10.1097/MOG.0b013e32834d3208. PMID 22080825.
- ↑ 2.0 2.1 Guerrant RL, Van Gilder T, Steiner TS, Thielman NM, Slutsker L, Tauxe RV; et al. (2001). "Practice guidelines for the management of infectious diarrhea". Clin Infect Dis. 32 (3): 331–51. doi:10.1086/318514. PMID 11170940.