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Treatment and prevention of pseudotuberculosis
Medical expert of the article
Last reviewed: 20.11.2021
Treatment of pseudotuberculosis
As etiotropic treatment of pseudotuberculosis, levomycetin is prescribed in the age-related dose for 7-10 days. If there is no effect or if there is an exacerbation after the withdrawal of levomycetin, a course of treatment with cephalosporin antibiotic of III and IV generation should be conducted. In severe forms, you can prescribe two antibiotics, taking into account their compatibility. With mild forms of pseudotuberculosis antibiotics can not be used. There are data on the effectiveness of anaferon use in children.
For the purpose of detoxification, intravenous infusions of reamberin solution of 1.5%, rheopolyglucin, albumin, 10% glucose solution are prescribed.
In severe cases of pseudotuberculosis, corticosteroids are recommended for 1-2 mg / kg of prednisolone per day in 3 divided doses for 5-7 days. They are especially indicated in the development of erythema nodosum and polyarthritis.
As desensitizing therapy, antihistamines are prescribed [chloropyramine (suprastin), clemastine, dimedrol, promethazine, etc.]. Of great importance is posidrome therapy and probiotics (acipol, etc.).
Prevention of pseudotuberculosis
Of great importance is the proper storage of vegetables, fruits and other food products, excluding the possibility of their infection with rodents. Strict sanitary control of cooking technology is needed, especially dishes that are not heat treated (salads, vinaigrettes, fruits, etc.), as well as water supply in rural areas.
Anti-epidemic measures in the outbreak are generally the same as in intestinal infections. After hospitalization, the patient is disinfected. Specific prophylaxis is not developed.