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Salmonellosis (Salmonella Infection) Discharge Instructions


About this topic


Salmonellosis is caused by a germ. It infects the belly and bowels. You can also have this infection in your urine, blood, or other body tissues. You can get this infection by eating and drinking food or water that has the germ in it. The germ is often found in the stool of people or animals that have the infection. You may be sick for about 5 to 7 days. Avoiding loss of fluids is most often the only treatment needed. ‚  


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What care is needed at home?


  • Ask your doctor what you need to do when you go home. Make sure you ask questions if you do not understand what the doctor says. This way you will know what you need to do.
  • Make sure to take all the drugs ordered by your doctor.
  • Drink 6 to 8 glasses of fluids each day to avoid fluid loss.
  • Wash your hands often. Make sure to wash them before and after using the bathroom and before eating.
  • Do not take any drugs to decrease loose stools.
  • Get lots of rest. Give your body time to heal from the infection.

What follow-up care is needed?


Your doctor may ask you to make visits to the office to check on your progress. Be sure to keep these visits. ‚  

What drugs may be needed?


The doctor may order drugs to: ‚  
  • Fight an infection
  • Lower fever
  • Ease pain
  • Replace body fluids

Will physical activity be limited?


You may feel weak because you lose too much fluid. Get lots of rest. Sleep when you are feeling tired. Avoid doing tiring activities. Ask your doctor about what activities are best for you. ‚  

What changes to diet are needed?


  • Stay away from caffeine and foods that are greasy, high in fiber, or sweet.
  • Eat soft, bland foods like bananas, plain rice, boiled potatoes, toast, crackers, cooked carrots, and baked chicken without the skin or fat.
  • Eat small meals every few hours instead of 3 big meals.

What can be done to prevent this health problem?


  • Be careful when swimming.
    • Avoid swallowing water while swimming, boating, or doing recreational water activities.
    • Protect others by not swimming when you or your child has loose stools. Do not swim for at least 2 weeks after loose stools stop.
    • Change diapers in a bathroom, not at poolside.
  • Be careful when eating.
    • Choose foods that are freshly cooked and served very hot, above 140 ¢ „ ‰ (60 ¢ „ ƒ).
    • Keep refrigerated food at less than 41 ¢ „ ‰ (5 ¢ „ ƒ).
    • Do not eat food from street vendors.
    • Do not eat raw vegetables or fruits. Be careful when eating salads as the produce may have been washed with tap water.
    • Eat fruits and vegetables that are peeled or cooked. Wash them with care.
    • If you suspect that your drinking water may be contaminated, let it boil at more than 140 ‚ °F (60 ‚ °C) for at least 30 minutes.
    • Avoid eating raw or undercooked meat, poultry, or eggs.
  • Take extra care when cooking.
    • Put raw foods in sealed containers to avoid dripping or spilling the fluid onto other foods inside the fridge or freezer.
    • Wash your hands with care after handling raw meat, and before touching cooked or ready-to-eat foods.
    • Wash chopping boards with care after using them to get raw meat ready.
  • Follow good hygiene habits.
    • Wash your hands often with soap and water for at least 15 seconds. Alcohol-based hand sanitizers also work to kill germs. This is especially important:
      • After using the bathroom or changing diapers
      • Before eating
      • Before cooking
      • After working in the dirt
    • Keep sick children away from daycare. This will prevent spreading the infection to others.
    • Wear a condom when having anal sex.

When do I need to call the doctor?


  • Signs of fluid loss. These include dark-colored urine or no urine for more than 8 hours, dry mouth and tongue, dry skin, sunken eyes, lack of energy, feeling faint, or passing out.
  • Loose stools for more than 2 days
  • Very bad pain in the belly
  • High fever
  • Bloody stool
  • Problems eating or too much throwing up
  • Seizures
  • Changes in behavior
  • You are not feeling better in 2 to 3 days or you are feeling worse

Teach Back: Helping You Understand


The Teach Back Method helps you understand the information we are giving you. The idea is simple. After talking with the staff, tell them in your own words what you were just told. This helps to make sure the staff has covered each thing clearly. It also helps to explain things that may have been a bit confusing. Before going home, make sure you are able to do these: ‚  
  • I can tell you about my condition.
  • I can tell you how and when to wash my hands to avoid passing the infection to others.
  • I can tell you how I will take extra care when cooking, eating, with my hygiene, or when swimming.
  • I can tell you what I will do if I have belly pain, fever, bloody stools, throwing up, or fever.

Where can I learn more?


Better Health Channel ‚  
http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/Gastroenteritis_salmonellosis ‚  
Centers for Disease Control and Prevention ‚  
http://www.cdc.gov/nczved/divisions/dfbmd/diseases/salmonellosis/ ‚  
KidsHealth ‚  
http://kidshealth.org/parent/infections/stomach/salmonellosis.html ‚  

Consumer Information Use and Disclaimer


This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you. ‚  

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