Botulinus antitoxin is given. Breathing trouble requires hospitalization. The health care team will establish a clear airway and provide supportive therapy. A tube may be inserted through the nose or mouth into the windpipe to provide an airway for oxygen. A breathing machine may be needed. Intravenous fluids can be given when the patient has swallowing difficulties. A feeding tube may be inserted in the nose. Cases of botulism are reported to state health authorities or the U.S. Centers for Disease Control and Prevention by health care providers so that the contaminated food can be removed from stores. Antibiotics are often given, but have not been shown to always be beneficial.
Prompt treatment significantly reduces the risk of death.
Go to the emergency room or call the local emergency number (such as 911) if you suspect botulism.
NEVER give honey or corn syrup to infants younger than 1 year old -- not even just a little taste on a pacifier. Prevent infant botulism by breastfeeding, if possible. Always throw away bulging cans or off-smelling preserved foods. Sterilize home-canned foods by pressure cooking at 250 degrees Fahrenheit for 30 minutes. Keep foil-wrapped baked potatoes hot or in the refrigerator, not out in room temperature.
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Reviewer Info: Arnold L. Lentnek, MD, Division of Infectious Disease, Kennestone Hospital, Marietta, GA. Review provided by VeriMed Healthcare Network.; ADAM Health Illustrated Encyclopedia, 08/16/2007 |