Cholera secondary prevention

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Tarek Nafee, M.D. [2], Sara Mehrsefat, M.D. [3], Priyamvada Singh, MBBS [4]

Secondary prevention of cholera includes prompt and appropriate diagnosis and treatment of patients suspected to have cholera.

In case of suspected cholera within a community, secondary prevention methods include prompt and appropriate diagnosis and management of patients with suspected cholera including:^{[1][2][3][4][5][6]}

• IV fluids (Ringer Lactate is the best, in case of nonavailability of ringer lactate cholera saline or normal saline can be used)
• Oral Rehydration Salt (ORS)
• Antibiotics (doxycycline, erythromycin, tetracycline)
• Rectal swabs and transport medium (Cary Blair or TCBS) for stool samples
• Zinc supplementation for reduced stool output^[6]
• Safe water is needed to rehydrate patients and to wash clothes and instruments
• Chlorine or bleaching powder
• Nasogastric tubes
• Drips
• Soap

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