Mild-moderate
- For treatment of enteric parasites, see Recommended Empiric Therapy of Enteric Parasitic Infections.
Usual Pathogens
Viral
Parasitic:
Giardia
Cryptosporidium
Cyclospora
Bacterial:
Campylobacter spp
Shigella spp
Salmonella spp
diarrheagenic E. coli
Aeromonas spp
Plesiomonas spp
Vibrio spp, noncholerae
Yersinia spp
- These organisms usually cause self-limiting diarrhea. Antibiotic therapy is generally not recommended unless symptoms are severe or prolonged, or patient is immunocompromised.
| Therapy | Dose | Duration |
|---|---|---|
| Fluid replacement | ||
| + | ||
| Bismuth subsalicylate | 2 x 262 mg tabs chewed well q30-60 minutes | No more than 8 doses/day |
| +/- | ||
| Antimotility agents (e.g. loperamide) |
4mg PO x 1 dose, then 2mg after each loose stool |
Max 16mg/day for no more than 2 days |