CBRNE - Botulism Follow-up

Updated: Feb 16, 2019
  • Author: Peter P Taillac, MD; Chief Editor: Duane C Caneva, MD, MSc  more...
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Follow-up

Further Inpatient Care

See the list below:

  • Ventilatory support

  • Surgical debridement of wounds

  • Pediatric nutritional support: Intravenous feeding (hyperalimentation) is discouraged because of its potential for secondary infection and because of the success with nasogastric or nasojejunal tube feeding.

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Deterrence/Prevention

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  • Inform the public about the hazards of improperly preserved or canned foods.

  • Inform expectant mothers not to administer honey to infants.

There is no vaccine against botulinum toxin, although the antitoxin may induce host immunity to the toxin and therefore may be efficacious when used as a vaccine. A program for vaccination of workers at high risk was ended by the CDC in 2011. [14]

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Complications

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  • Wound infection

  • Respiratory distress

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Prognosis

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  • Prognosis is generally good with early detection, early antitoxin administration, and intensive supportive therapy.

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