View source for Template:Botulism treatment

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===Supportive Care=== <!--T:1-->

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*Early ventilatory support
**Consider intubation when vital capacity <30% predicted or <12cc/kg
*Wound Managment
**Early wound debreedment with surgical consult.
**Also exclude [[Special:MyLanguage/Necrotizing fasciitis|Necrotizing fasciitis]] and coverage with same broad antibiotic coverage


===Foodborne Botulism=== <!--T:3-->

<!--T:4-->
*Equine Serum Botulism Antitoxin
**only for patients > 1yo
*Antitoxin obtained through CDC or local Department of Health.


===Infant Botulism (<1yo)=== <!--T:5-->

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*Human-based Botulism IG 100mg/kg IV x 1 dose (BabyBIG)
**infusion divided into 25mg/kg/hr IV x 15 min followed by 50mg/kg/hr if no allergic reactions
**Stop infusion after total of 100mg/kg infused
*BabyBIG obtained through CDC or local Department of Health


===Inhalational Botulism=== <!--T:7-->

<!--T:8-->
*Equine Serum Botulism Antitoxin
**only for patients > 1yo
*Antitoxin obtained through CDC or local Department of Health


===Wound Botulism=== <!--T:9-->

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*Individualize therapy with ID consultant
*Broad antibiotic coverage same as for [[Special:MyLanguage/Necrotizing fasciitis|Necrotizing fasciitis]] while awaiting wound cultures
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