Contact Precautions
Acute Gastroenteritis:
Usually self-limiting GI illness w/o need for antibiotics
Rehydration
Extra intestinal or severe disease:
Extra intestinal or severe disease:
Ciprofloxacin
TMP/SMX
Azithromycin
Aerobic gram negative rod.
Humans/animals are the reservoir (i.e. reptiles - turtles/lizards, transovarial transmission in chickens → eggs).
Fecal-oral transmission or ingestion of contaminated water/food.
Food-borne illness
Infectious colitis
Intra-abdominal abscess
Bacteremia and endovascular infection (endocarditis, infected atherosclerotic plaque/aneurysm)
Contact precautions if incontinent or diapered.
Generally a self-limited illness which should not be treated with antibiotics. Treat if immunosuppressed/bacteremic, high fever, or hospitalized.
If empiric therapy is required in severe disease use combination therapy until sensitivities are available.
Food handlers require proof of clearance prior to returning to work.
Reportable to Public Health.