Yaws medical therapy: Difference between revisions

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{{CMG}}
{{CMG}}
==Overview==
==Overview==
Treatment involves a single dose of one type of [[penicillin]], or 3 weekly doses for later stage disease. It is rare for the disease to return. Anyone who lives in the same house with someone who is infected should be examined for yaws and treated if they are infected.
 
The mainstay of therapy for yaws is antimicrobial therapy.  Pharmacologic therapy for yaws includes either [[Phenoxymethylpenicillin]], [[Tetracyclines]], [[Doxycycline]], [[Erythromycin]], or [[Azithromycin]]. Close contacts of patients must be examined and treated for yaws if the disease is present.


==Medical therapy==
==Medical therapy==
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*Yaws<ref name="pmid24947530">{{cite journal| author=Stevens DL, Bisno AL, Chambers HF, Dellinger EP, Goldstein EJ, Gorbach SL et al.| title=Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the infectious diseases society of America. | journal=Clin Infect Dis | year= 2014 | volume= 59 | issue= 2 | pages= 147-59 | pmid=24947530 | doi=10.1093/cid/ciu296 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24947530  }} </ref>
*Yaws<ref name="pmid24947530">{{cite journal| author=Stevens DL, Bisno AL, Chambers HF, Dellinger EP, Goldstein EJ, Gorbach SL et al.| title=Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the infectious diseases society of America. | journal=Clin Infect Dis | year= 2014 | volume= 59 | issue= 2 | pages= 147-59 | pmid=24947530 | doi=10.1093/cid/ciu296 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24947530  }} </ref>
:*  Preferred regimen (1): [[Phenoxymethylpenicillin]] 12.5 mg/kg q6h 7-10days (maximum dose, 300 mg q6h)
:*  Preferred regimen (1): [[Phenoxymethylpenicillin]] 12.5 mg/kg q6h 7-10days (maximum dose, 300 mg q6h)
:*  Preferred regimen (2): [[Tetracyclines]] 500 mg q6h 15 days or [[doxycycline]] 100 mg q12h (alternative agents for the treatment of yaws in nonpregnant adults)
:*  Preferred regimen (2): [[Tetracyclines]] 500 mg q6h 15 days or [[Doxycycline]] 100 mg q12h (alternative agents for the treatment of yaws in nonpregnant adults)
:*  Preferred regimen (3): [[Erythromycin]] 8–10 mg/kg 15 days q6h
:*  Preferred regimen (3): [[Erythromycin]] 8–10 mg/kg 15 days q6h
:*  Preferred regimen (4): [[Azithromycin]] 30 mg/kg single-dose (maximum dose 2 g)
:*  Preferred regimen (4): [[Azithromycin]] 30 mg/kg single-dose (maximum dose 2 g)
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[[Category:Disease]]
[[Category:Disease]]
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[[Category:Bacterial diseases]]
[[Category:Bacterial diseases]]
[[Category:Infectious disease]]


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Latest revision as of 19:29, 18 September 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

The mainstay of therapy for yaws is antimicrobial therapy. Pharmacologic therapy for yaws includes either Phenoxymethylpenicillin, Tetracyclines, Doxycycline, Erythromycin, or Azithromycin. Close contacts of patients must be examined and treated for yaws if the disease is present.

Medical therapy

  • Preferred regimen (1): Phenoxymethylpenicillin 12.5 mg/kg q6h 7-10days (maximum dose, 300 mg q6h)
  • Preferred regimen (2): Tetracyclines 500 mg q6h 15 days or Doxycycline 100 mg q12h (alternative agents for the treatment of yaws in nonpregnant adults)
  • Preferred regimen (3): Erythromycin 8–10 mg/kg 15 days q6h
  • Preferred regimen (4): Azithromycin 30 mg/kg single-dose (maximum dose 2 g)

References

  1. Stevens DL, Bisno AL, Chambers HF, Dellinger EP, Goldstein EJ, Gorbach SL; et al. (2014). "Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the infectious diseases society of America". Clin Infect Dis. 59 (2): 147–59. doi:10.1093/cid/ciu296. PMID 24947530.

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