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Salmonella Infections, Pediatric

John Bower, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

Salmonella isolates are broadly divided into the following: (i) nontyphoidal serotypes, with illness ranging from uncomplicated gastroenteritis to meningitis; and (ii) typhoidal sero...

DIAGNOSIS

HISTORY

  • Exposure history: nontyphoidal

    • Recent contact with farm animals (e.g., fairs and petting zoos) or reptiles. Reptiles may pose a risk even without direct contact.

    • Recent travel to underd...

TREATMENT

MEDICATION

  • Antimicrobials are not indicated for uncomplicated nontyphoidal gastroenteritis. Antimicrobial use does not shorten the duration of diarrhea and has been associated with prolonged ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Acute nontyphoidal gastroenteritis

    • Encourage appropriate oral rehydrating fluids and monitor for signs and symptoms of dehydration.

    • Monitor for invasive complicatio...

ADDITIONAL READING

  • Bar-Meir M, Raveh D, Yinnon AM, et al. Non-typhi Salmonella gastroenteritis in children presenting to the emergency department: characteristics of patients with associated bacteraem...

CODES

ICD9

  • 003.9 Salmonella infection, unspecified

  • 003.0 Salmonella gastroenteritis

  • 002.0 Typhoid fever

  • 003.21 Salmonella meningitis

ICD10

  • A02.9 Salmonella infection, unspecified

  • A02.0 Salmonella enteritis

  • A0...

FAQ

  • Q: When can children infected with Salmonella return to day care or school?

  • A: In general, infants and children with nontyphoidal Salmonella infection may return to day care or school 24 hours afte...

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