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The elderly, infants, and those with impaired immune systems may have a more severe illness. In these patients, the infection may spread from the intestines to the blood stream, and then to other body sites and can cause death unless the person is treated promptly with antibiotics. (Source: excerpt from Salmonella enteritidis: DBMD)
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Treatment is usually supportive and consists of bed rest, nutritional support, and increased fluid intake. When gastroenteritis is severe or affects a young child or an elderly or debilitated person, treatment may necessitate hospitalization, specific antimicrobials, I.V. fluid and electrolyte replacement and, possibly, antiemetics (given orally, I.M., or by rectal suppository).
Source: Professional Guide to Diseases (Eighth Edition), 2005
Usually supportive, treatment consists of nutritional support and increased fluid intake.
An episode of acute gastroenteritis is self-limiting. When an episode is severe and produces symptoms for more than 3 or 4 days and the patient is a young child or an elderly or debilitated person, hospitalization may be necessary. Treatment may include fluid and electrolyte replacement, antibiotic therapy, and antiemetics.
Source: Handbook of Diseases, 2003
Patients with invasive salmonella disease should always be treated. An increasing percentage of isolates are resistant to ampicillin and trimethoprim-sulfamethoxazole (Bactrim), traditionally the front-line antibiotics for treatment of this organism. Treatment is usually initiated with a third-generation cephalosporin such as cefotaxime or ceftriaxone. Second-generation cephalosporins and gentamicin are not considered efficacious, although in vitro assays may show sensitivity. Fluoroquinolones such as ciprofloxacin are frequently used for treatment of invasive salmonella disease, particularly in developing countries.
Source: Pediatric Infectious Disease, 2004
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