Diarrhoea with neutrophils, blood and/or mucus. Causes include shigella,
salmonella and campylobacter.
Rehydration is the cornerstone of management. This should be done with
oral rehydration solution (ORS) unless the patient is vomiting or profoundly
Stool culture is advised.
Loperamide is contraindicated as it may result in toxic megacolon.
Consider in severe cases or significant underlying disease.
Ciprofloxacin, oral, 500 mg 12 hourly for 3–7 days.
» Persistent diarrhoea with blood and mucus for longer than 2 weeks.
Reference and further reading
Standard Treatment Guidelines and Essential Medicines List for South Africa 2012 Edition