Prophylactic Treatment

Prophylactic treatment for people exposed to botulinum toxin

The use of antibiotics post-exposure is not indicated. Those who have been exposed should be monitored for symptoms and expert advice sought on treatment.

No antibiotic prophylaxis or immunisations are necessary for frontline workers.

Follow-up of exposed persons

After an overt release, all exposed persons will be moved to a place of safety. It is possible that by the time this has occurred, the first casualties may be developing symptoms and will be transferred directly to hospital.

Follow-up monitoring arrangements will be required for those who remain free of symptoms for the first few hours after the release. Instructions will be given to seek immediate medical attention should symptoms develop later. Antibiotic prophylaxis is not recommended.

Prevention of secondary spread

Person-to-person spread of botulism does not occur and therefore there is no specific treatment or advice required for secondary contacts. There is no requirement for quarantine of infected patients.

Last reviewed: 1 April 2009