Cholera secondary prevention

Cholera Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Cholera from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications, and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

X Ray

MRI

Other diagnostic studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Case Studies

Case #1

Cholera secondary prevention On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Cholera secondary prevention

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Cholera secondary prevention

CDC on Cholera secondary prevention

Cholera secondary prevention in the news

Blogs on Cholera secondary prevention

Directions to Hospitals Treating Cholera

Risk calculators and risk factors for 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]

## Overview

[edit | edit source]

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

## Secondary Prevention

[edit | edit source]

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

## References

[edit | edit source]

1. ↑ Lankarani KB, Alavian SM (2013). "Lessons learned from past cholera epidemics, interventions which are needed today". J Res Med Sci. 18 (8): 630–1. PMC 3872598. PMID 24379835.
2. ↑ Hahn S, Kim S, Garner P (2002). "Reduced osmolarity oral rehydration solution for treating dehydration caused by acute diarrhoea in children". Cochrane Database Syst Rev (1): CD002847. doi:10.1002/14651858.CD002847. PMID 11869639.CS1 maint: Multiple names: authors list (link)
3. ↑ Kabir I, Khan WA, Haider R, Mitra AK, Alam AN (1996). "Erythromycin and trimethoprim-sulphamethoxazole in the treatment of cholera in children". J Diarrhoeal Dis Res. 14 (4): 243–7. PMID 9203786.CS1 maint: Multiple names: authors list (link)
4. ↑ Sack DA, Islam S, Rabbani H, Islam A (1978). "Single-dose doxycycline for cholera". Antimicrob Agents Chemother. 14 (3): 462–4. PMC 352482. PMID 708024.CS1 maint: Multiple names: authors list (link)
5. ↑ Roy SK, Hossain MJ, Khatun W, Chakraborty B, Chowdhury S, Begum A; et al. (2008). "Zinc supplementation in children with cholera in Bangladesh: randomised controlled trial". BMJ. 336 (7638): 266–8. doi:10.1136/bmj.39416.646250.AE. PMC 2223005. PMID 18184631.CS1 maint: Explicit use of et al. (link) CS1 maint: Multiple names: authors list (link)
6. ↑ 6.0 6.1 Nelson EJ, Nelson DS, Salam MA, Sack DA (2011). "Antibiotics for both moderate and severe cholera". N Engl J Med. 364 (1): 5–7. doi:10.1056/NEJMp1013771. PMID 21142691.CS1 maint: Multiple names: authors list (link)

Template:WH Template:WS