In mild disease, what is the recommended management for Salmonella gastroenteritis?

• A. Antibiotics
• B. Immunoglobulins
• C. Antivirals
• D. Supportive care

Answer: (D)

Salmonella gastroenteritis in mild cases is usually self-limited, so the main approach is supportive care focused on staying hydrated and maintaining electrolytes. Rehydration with oral rehydration solutions (or IV fluids if needed) and returning to a regular diet as tolerated helps prevent dehydration and allows the illness to run its course. Antibiotics aren’t needed for mild disease because they don’t reliably shorten symptoms in healthy individuals and can increase the duration of bacterial shedding and promote antimicrobial resistance. Immunoglobulins or antivirals don’t have a role in routine management. In short, controlling hydration and comfort is the best approach for mild disease.