Generated Narrative with Details

id: obs-401

identifier: obs-401

status: final

code: Stool Culture (Details : {LOINC code "625-4" := "625-4", given as "Bacteria identified in Stool by Culture"})

effective: 12/5/2014

issued: 12/6/2014 3:42:15 PM

value: Salmonella I, group O:4 isolated (Details : {SNOMED CT code "398567006" := "398567006", given as "Salmonella I, group O:4"})

interpretation: Abnormal (Details : {http://hl7.org/fhir/v2/0078 code "A" := "Abnormal)

comments: Salmonella gastrointestinal infections usually resolve in 5-7 days and most do not require treatment other than oral fluids. Persons with severe diarrhea may require rehydration with intravenous fluids. Antibiotic therapy can prolong the duration of excretion of non-typhoidal Salmonella and is recommended only for patients with severe illness (e.g., those with severe diarrhea, high fever, bloodstream infection, or who need hospitalization) or those at risk of severe disease or complications, including young infants, older adults (over 65 years old) and immunocompromised persons. Antibiotic resistance is increasing among some Salmonella bacteria; therefore, susceptibility testing can help guide appropriate therapy. Choices for antibiotic therapy for severe infections include fluoroquinolones, third-generation cephalosporins, and ampicillin (for susceptible infections).

specimen: Blood sample