Salmonella Infection in Emergency Medicine Treatment & Management

Updated: Apr 10, 2017
  • Author: Michael D Owens, DO, MPH, FACEP, FAAEM; Chief Editor: Jeter (Jay) Pritchard Taylor, III, MD  more...
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Treatment

Prehospital Care

Perform a standard evaluation of airway, breathing, and circulation.

Provide intravenous fluids if signs or symptoms of dehydration are present.

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Emergency Department Care

Perform a standard evaluation of airway, breathing, and circulation.

Treat with rehydration and electrolyte replacement via oral or intravenous solutions for an uncomplicated gastroenteritis.

Transfusions should be based on hemoglobin and hematocrit levels.

Symptomatically manage pain, nausea, vomiting, and diarrhea.

Antibiotics are indicated for infants up to 2 months of age, elderly patients, immunocompromised patients, those with a history of sickle cell disease or prosthetic grafts, or patients who have extraintestinal findings.

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Consultations

Admission may be required if the patient exhibits unstable vital signs, harbors significant risk factors, is younger than 2 months of age or is elderly, is immunocompromised, or shows signs or symptoms of an extraintestinal manifestation.

Appropriate specialty consultation for specific extraintestinal manifestations is indicated.

Arrange for follow-up care on an outpatient basis with the patient’s primary care physician if discharged from the emergency department.

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