Shigella infection usually resolves over 5 to 7 days. Maintaining adequate fluid intake to avoid dehydration may be all that is necessary if symptoms are mild. General measures for a shigella infection usually includes plenty of liquids and medications to control vomiting. More severe shigella infections can be shortened with antibiotics, but symptoms may continue for 1-2 weeks after treatment.
Treatment options for shigella infection include:
- Oral rehydration therapy for older children and adults:
- Drink clear liquids only, such as water, sports drinks (best), fruit juice and dilute tea.
- Drink small quantities of fluids frequently, such as 2 tablespoons of fluid every 5 minutes.
- The absence of food allows the intestines to rest.
- Oral rehydration is effective to treat mild to moderate dehydration
- Intravenous fluids for severe dehydration
- Start with a clear liquid diet and advance to a full liquid diet once symptoms improve.
- BRAT diet (i.e. bananas, rice, applesauce, toast):
- Can help to minimize diarrhea
- Medications for nausea and vomiting:
- Avoid medications for diarrhea:
- These medications may make your condition worse
- Diarrhea help you to clear the offending bacteria from the intestines
- Antibiotics for shigella infection:
Physicians from the following specialties evaluate and treat a shigella infection:
Continue to Shigella Home Care
- Bhattacharya SK, Sur D. An evaluation of current shigellosis treatment. Expert Opin Pharmacother. 2003 Aug;4(8):1315-20. 
- Gupta A, Polyak CS, Bishop RD, Sobel J, Mintz ED. Laboratory-confirmed shigellosis in the United States, 1989-2002: epidemiologic trends and patterns. Clin Infect Dis. 2004 May 15;38(10):1372-7. 
- Lee LA, Shapiro CN, Hargrett-Bean N, Tauxe RV. Hyperendemic shigellosis in the United States: a review of surveillance data for 1967-1988. J Infect Dis. 1991 Nov;164(5):894-900. 
- Niyogi SK. Shigellosis. J Microbiol. 2005 Apr;43(2):133-43.