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Treatment of yersiniosis
Medical expert of the article
Last reviewed: 04.07.2025
Indications for consultation with other specialists
Consultations with other specialists are indicated in cases of prolonged subfebrile fever, systemic clinical manifestations, developing secondary focal forms in cases where the treatment of yersiniosis is not effective.
Indications for hospitalization
Clinical (severity of the disease, development of complications, presence of severe premorbid diseases) and epidemiological (outbreak and patients at risk).
In severe cases, bed rest, in other cases - ward rest. For dietary nutrition, tables No. 4, 2 and 13 are prescribed.
Drug treatment of yersiniosis
Antibacterial treatment of yersiniosis begins on the 10th-14th day for all patients, regardless of the form of the disease, as early as possible (preferably before the third day of illness). The choice of drug depends on the sensitivity of the Yersinia strains circulating in a given area. The drugs of choice are fluoroquinolones and third-generation cephalosporins. Chloramphenicol is recommended for the treatment of yersiniosis meningitis (IM 70-100 mg/kg per day). The tactics of managing patients with the abdominal form are developed jointly with the surgeon. To restore intestinal flora, probiotics (bifiform, etc.) and eubiotics (atsipol, linex, bifilong, acidophilic lactobacilli, bifidobacteria bifidum and other drugs) are recommended in combination with enzyme preparations (pancreatin, abomin, pancreoflat).
Treatment of secondary focal yersiniosis is carried out according to an individual scheme. Antibacterial treatment of yersiniosis has no independent value and is indicated when the infectious process is activated and there is no information in the anamnesis about taking antibiotics. If necessary, treatment is agreed with narrow specialists. If symptoms of acute abdomen develop in the abdominal form, appendectomy is performed. The choice of physiotherapeutic and sanatorium-resort methods of treatment and rehabilitation measures depends on the form of yersiniosis and the underlying syndrome.
Example of diagnosis formulation
Yersiniosis, gastrointestinal form, gastroenteric variant, moderate severity, acute course of the disease (coproculture Y. enterocolitica, serovar 03).
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Approximate periods of incapacity for work
With yersiniosis, a person remains incapacitated for an average of 14-21 days; with secondary focal forms and a wave-like course, this period can be 4-6 months.
Clinical examination
The duration of dispensary observation of convalescents should be at least one year at 1, 3, 6 and 12 months after the acute period. In the presence of clinical and laboratory problems - more often, as needed.
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Patient information sheet
It is necessary to strictly follow the doctor's recommendations; adhere to the prescribed daily routine and diet; do not self-medicate. Treatment of yersiniosis should be carried out in accordance with the timing and clinical manifestations of the disease. Medical examination should be carried out 1. 3, 6 and 12 months after recovery, in the case of a protracted and chronic course of the disease - for a longer period until final recovery.