Shigella

The regional formulary will not cover all eventualities for infections medicines choices. As with any condition; patient specific factors and sensitivities need to be considered. Please consider this regional formulary advice alongside any relevant local Board guidelines.

Treatment of shigella infection

No antibiotic treatment for healthy people with mild disease.

For second line treatment options discuss with microbiology or an infection specialist.

Prescribing Notes:

  • Antibiotic treatment is not recommended for healthy people with mild shigellosis. Consider antibiotic treatment for people: with severe disease, immunocompromised or bloody diarrhoea.
  • If antibiotic treatment is indicated, seek advice from the local microbiologist regarding antibiotic management.
  • Consider Sexually Transmitted Infection testing.

History Notes

30/07/2026

Regional formulary chapter launched.