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Treatment and prevention of recurrent typhoid fever
Medical expert of the article
Last reviewed: 23.04.2024
Treatment of recurrent typhoid fever is carried out for 7-10 days by one of the antibiotics acting on Borrelia. The drugs of choice are tetracyclines: doxycycline 100 mg twice daily or tetracycline, 0.5 g four times a day.
Alternative antibacterial drugs include erythromycin in a daily dose of 1 g and benzylpenicillin 2-3 million units per day intramuscularly.
At the same time, an infusional detoxification treatment of recurrent typhoid fever is prescribed.
It should be borne in mind that after the initiation of antibiotic treatment (especially benzylpenicillin), the reaction of Yarisch-Gersheimer's aggravation is possible.
Convalescents are discharged from the hospital not earlier than 3 weeks after the final normalization of body temperature.
[What prognosis does recurrent typhus have?
Return vyshin typhus has a favorable prognosis, ate treatment started in a timely manner. Unfavorable prognostic symptoms of recurrent typhus vshnogo - intense jaundice, massive bleeding and heart rhythm disturbances.
How to prevent recurrent typhus vshny?
Specific prophylaxis of recurrent typhus is not developed.
The fight against pediculosis, early detection and isolation of patients, their urgent hospitalization and chamber disinfection of things, sanitary treatment of contact persons, followed by medical observation with daily thermometry within 25 days after hospitalization of the patient.