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Treatment of febrile-intoxication syndrome
Last reviewed: 19.10.2021
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Treatment of febrile-intoxication syndrome is aimed at detoxification and reduction of excessive temperature reaction. With mild intoxication and subfebrile fever, the home regime is shown, the exclusion of spicy seasonings, fried foods, smoked foods, canned food, plentiful drink (tea, juices, mors, mineral water, broth of dogrose, compote - up to 3 liters per day).
With intoxication of moderate severity and moderate fever, there is a bed rest, hospitalization according to individual indications in individual cases (fever over 5 days, burdened premorbid background), the same diet as with slight intoxication with the exception of refractory fats, plentiful drink with the inclusion of sweatshops - honey, raspberry, cowberries, ascorbic acid. With poor subjective tolerance of fever - antipyretics: acetylsalicylic acid, paracetamol, metamizole sodium, cold on the forehead.
At a severe and very severe degree of intoxication and fever over 39.0 ° C hospitalization, strict bed rest is indicated. Mechanically and chemically sparing diet with restriction of fats and protein, copious drinking, physical methods of cooling, antipyretics taking into account general and individual contraindications, detoxification by intravenous administration of solutions (polyon solutions, 5-10% glucose solution, albumin, plasma, rheopolyglucin) in volume 0,5-1,5 l per day. According to the indications (hypotension, encephalopathy, ONGM), intensive therapy is performed in conditions of ICU.
Antimicrobials before diagnosis at home are not indicated. In a hospital (after taking blood for bacteriological examination), if there is a suspicion of a serious infection, according to vital indications. Parenteral preparations of a wide spectrum of action are used.
Corticosteroids (prednisolone) as a means of detoxification are used only for individual indications against the background of antimicrobial therapy. The dose of the drug is up to 10 mg / kg of body weight.