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N Engl J Med. Antibiotics for Both Moderate and Severe Cholera

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  • N Engl J Med. Antibiotics for Both Moderate and Severe Cholera

    Antibiotics for Both Moderate and Severe Cholera (N Engl J Med., extract, edited)


    [Source: NEJM, full text: <cite cite="http://www.nejm.org/doi/full/10.1056/NEJMp1013771?query=OF">Antibiotics for Both Moderate and Severe Cholera ? NEJM</cite>. Extract, edited.]

    Perspective

    Antibiotics for Both Moderate and Severe Cholera

    Eric J. Nelson, M.D., Ph.D., Danielle S. Nelson, M.D., M.P.H., Mohammed A. Salam, M.B., B.S., and David A. Sack, M.D.

    December 9, 2010 (10.1056/NEJMp1013771)


    The 2010 Haitian cholera outbreak has pressed local and international experts into rapid action against a disease that is new to many health care providers in Haiti. The World Health Organization (WHO) has time-tested management protocols for emerging cholera outbreaks. These protocols have been used by the Haitian government to fight an epidemic that is merely one of several recent tragedies in Haiti. The use of these protocols has allowed for a high standard of care in this complex and evolving medical landscape. But whereas the current WHO cholera-treatment protocol (http://www.who.int/mediacentre/facts.../en/index.html) recommends antibiotics for only severe cases, the approach of the International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B), recommends antibiotics for both severe and moderate cases.

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