What is included in supportive care for shigellosis?

Updated: Aug 20, 2021
  • Author: Heba Rashid Ashraf, MD; Chief Editor: BS Anand, MD  more...
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Answer

General supportive care of patients with shigellosis includes the following: [42]

  • High fever in children should be treated.

  • Narcotic-related antidiarrheals should be avoided.

  • Antibiotic treatment is indicated in most patients. [43]  Note that antibiotic-resistant Shigella species have emerged [20] ; thus, obtaining susceptibility testing and monitoring local shigellosis outbreaks is crucial.

  • Clear liquids followed by a low-residue, lactose-free diet are recommended until symptoms of shigellosis resolve.

Antimotility agents should be avoided. They have the potential to worsen symptoms and may predispose to toxic dilation of the colon.

For fluid and electrolyte supplementation, oral rehydration solutions are preferable.


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