Shigella infections antibiotics

Antibiotics have a recognized role in the treatment of culture-proven bacterial causes of symptomatic enteric infection such as Shigella spp., Campylobacter jejuni and Salmonella typhi. The use of antibiotics in the treatment... 

TMP-SMX is also used in the treatment of infection caused by ampicillin-resistant Shigella spp. and for antibiotic-resistant Salmonella spp.. The combination is also effective for covering the carrier state of Salmonella typhi, the agent of typhoid fever, and other Salmonella spp.. Successful treatment of traveler s diarrhea due to susceptible E. coli is another advantage of the use of this combination. The combination is not indicated in the therapy of enterohemorrhagic E. coli strains such as 0157 H7 because of the risk of developing hemolytic-uremic syndrome associated with the release of the cytotoxic enterotoxin by the drugs. 

Used in all types of infection caused by Salmonella typhi, Klebsiella, Enterobacter, Pneumocystis carinii etc. and many other sulfonamide resistant stains of S. aureus, Strep, pyogenes, Shigella, E. coli, H. influenzae, meningococci and gonococci etc. It is particularly effective as a second line agent in penicillin allergic patients and also in patients where newer antibiotics are contraindicated or can t be used. 

Children are susceptible to diarrheal infections from the fearsome E. coli 0157 H7 and antibiotic-resistant strains of Shigella dyseneriae. When they get extremely ill with these bacteria they may also experience high fever. 

Many different kinds of diseases can cause diarrhea and bloody diarrhea, and the treatment depends on w hich germ is causing the diarrhea. Determining that Shigella is the cau.se of the illness depends on laboratory tests that identify Shigella in the stools of an infected person. These tests are sometimes not performed unless the laboratory is instructed specifically to look for the organism. The laboratory can also do special tests to tell which type of Shigella the person has and which antibiotics, if any, would be best (o treat it. 

An acute infection of the bowel with Shigella bacilli. It is characterized by fever abdominal pain vomiting and diarrhea which contains fluid and mucus, blood and pus, if the organisms have ulcerated the intestines. Often the victim becomes dehydrated and loses weight. There is a high death rate in infants from bacillary dysentery. Even when treated with antibiotics, the condition may continue for a long time. 

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