Botulism

Treatment:

The objective of treatment is to establish a clear airway, provide aid with breathing, give botulinus antitoxin, and provide supportive therapy. Emergency hospitalization is recommended for immediate detection of respiratory impairment.

If breathing difficulty develops, intubation (a tube inserted through the nose or mouth into the trachea to provide an airway for oxygen) and mechanical ventilation are given. Intravenous fluids can be given while swallowing difficulties persist. Also, naso-gastric (feeding through a tube inserted in the nose) feeding should be initiated.

Occurrences of the disease are reported to state health authorities or the CDC (Centers for Disease Control and Prevention) by health care providers so that contaminated food can be removed from stores. Antibiotics have not been shown to be beneficial in the infant form of botulism.

Expectations (prognosis):

Death occurs in 70% of untreated cases. Prompt treatment significantly reduces the risk of death.

Complications:

• aspiration pneumonia and infection
• respiratory distress
• infant botulism has been associated with sudden infant death syndrome (SIDS)

Calling your health care provider:

Go to the emergency room or call the local emergency number (such as 911) if botulism food poisoning is suspected.