What is the recommended management of botulism in a community setting?

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Botulism is an emergency caused by a potent toxin that can cause rapid respiratory failure. The most effective treatment is prompt administration of antitoxin to neutralize circulating toxin, along with intensive supportive care (often including respiratory support) in a facility equipped to handle such cases. Because the antitoxin works best when given early, suspected cases should go to emergency care right away, and public health should be notified to help identify sources and prevent further cases.

Outpatient antibiotics are not the treatment for botulism and can delay definitive care with antitoxin. Even though the overall risk in the community may be low, ignoring symptoms or delaying care is dangerous.