View source for Template:Botulism treatment

===Supportive Care===
*Early ventilatory support
**Consider intubation when vital capacity <30% predicted or <12cc/kg
*Wound Managment
**Early wound debreedment with surgical consult.
**Also exclude [[Necrotizing fasciitis]] and coverage with same broad antibiotic coverage

===Foodborne Botulism===
*Equine Serum Botulism Antitoxin
**only for patients > 1yo
*Antitoxin obtained through CDC or local Department of Health.

===Infant Botulism (<1yo)===
*Human-based Botulism IG 100mg/kg IV x 1 dose (BabyBIG)
**infusion divided into 25mg/kg/hr IV x 15 min followed by 50mg/kg/hr if no allergic reactions
**Stop infusion after total of 100mg/kg infused
*BabyBIG obtained through CDC or local Department of Health

===Inhalational Botulism===
*Equine Serum Botulism Antitoxin
**only for patients > 1yo
*Antitoxin obtained through CDC or local Department of Health

===Wound Botulism===
*Individualize therapy with ID consultant
*Broad antibiotic coverage same as for [[Necrotizing fasciitis]] while awaiting wound cultures