Spectrum: Local Antimicrobial Stewardship, for IWK Health Centre

Vibrio cholerae

Common Presentation

Abdominal cramps and large volume watery diarrhea within 16-72 hours

Commonly Implicated Sources and Seasonality

Shellfish, travel to Haiti or other areas where cholera is endemic

Treatment Recommendations

Oral rehydration is the key intervention. Antibiotics shorten the duration of illness and are recommended

Antibiotics

Azithromycin x 1 dose

OR

Greater than 8 years of age:

Doxycycline x 1 dose

OR

Ciprofloxacin x 1 dose (second line)