Gastrointestinal Infections
What antibiotics are NOT indicated for:
- Acute vomiting
- Acute diarrhoea (including acute haemorrhagic (AHDS) cases) unless sepsis
- Pancreatitis
- Gastric Helicobacter infections
- Campylobacter, Salmonella, Clostridium perfringens or C. difficile infections
- Chronic diarrhoea
Acute Diarrhoea With Signs of Sepsis:
Parvovirus ONLY if neutrophil count <1x10^9/L
- Ampicillin or amoxicillin or cefalexin
- Amoxicillin/clavulanate
Clinical Giardia infection:
ONLY use metronidazole if fenbendazole AND environmental management strategies ineffective
- Fenbendazole for 5 days
Chronic Diarrhoea & Chronic Enteropathy (IBD)
- Diagnostics and treatments including Giardia treatment, dietary management, measures to address dysbiosis (e.g. prebiotics, probiotics or faecal matter transplantation) and/or a prednisolone trial should be performed BEFORE an antibiotic trial
- The use of antibiotics for putative immunomodulatory or antiinflammatory effects is discouraged
Cholangitis or Cholangiohepatitis:
Consult QR Code
- Amoxicillin/clavulanate
- Ampicillin
- Cefalexin
If refractory to first-line therapy
- Marbofloxacin
- Enrofloxacin (dogs only)
