Cat scratch fever medical therapy: Difference between revisions
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{{Cat scratch fever}} | {{Cat scratch fever}} | ||
{{CMG}}; {{AE}} {{RT}} | {{CMG}}; {{AE}} {{RT}} | ||
==Overview== | ==Overview== | ||
Most healthy people will clear the infection without treatment, and antimicrobial therapy is not recommended for immunocompetent patients with mild to moderate ''[[Bartonella henselae]]'' disease due to the risk of side-effects from antibiotics. [[Azithromycin]], [[ciprofloxacin]], [[doxycycline]], and multiple other antibiotics have been used but with unclear benefit.<ref>{{cite journal|last=Rolain|first=J.M.|title=Recommendations for Treatment of Human Infections Caused by Bartonella Species|journal=Antimicrobial Agents and chemotherapy|year=2004|month=June|pages=1921–1933|pmid=15155180|doi=10.1128/AAC.48.6.1921-1933.2004|pmc=415619|volume=48|issue=6}}</ref> | Most healthy people will clear the infection without treatment, and antimicrobial therapy is not recommended for immunocompetent patients with mild to moderate ''[[Bartonella henselae]]'' disease due to the risk of side-effects from antibiotics. [[Azithromycin]], [[ciprofloxacin]], [[doxycycline]], and multiple other antibiotics have been used but with unclear benefit.<ref>{{cite journal|last=Rolain|first=J.M.|title=Recommendations for Treatment of Human Infections Caused by Bartonella Species|journal=Antimicrobial Agents and chemotherapy|year=2004|month=June|pages=1921–1933|pmid=15155180|doi=10.1128/AAC.48.6.1921-1933.2004|pmc=415619|volume=48|issue=6}}</ref> | ||
* Cat scratch disease<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> | |||
[[Azithromycin]] | :* '''Cat scratch disease in patients > 45 kg''' | ||
* | ::* Preferred regimen: [[Azithromycin]] 500 mg PO on day 1 {{and}} 250 mg PO for additional 4 days | ||
:* '''Cat scratch disease in patients < 45 kg''' | |||
::* Preferred regimen: [[Azithromycin]] 10 mg/kg PO on day 1 {{and}} 5 mg/kg PO for 4 more days | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
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[[Category:Infectious disease]] | [[Category:Infectious disease]] | ||
[[Category:Needs content]] | [[Category:Needs content]] | ||
[[Category: Infectious Disease Project]] | |||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Revision as of 14:42, 12 August 2015
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2]
Overview
Most healthy people will clear the infection without treatment, and antimicrobial therapy is not recommended for immunocompetent patients with mild to moderate Bartonella henselae disease due to the risk of side-effects from antibiotics. Azithromycin, ciprofloxacin, doxycycline, and multiple other antibiotics have been used but with unclear benefit.[1]
- Cat scratch disease[2]
- Cat scratch disease in patients > 45 kg
- Preferred regimen: Azithromycin 500 mg PO on day 1 AND 250 mg PO for additional 4 days
- Cat scratch disease in patients < 45 kg
- Preferred regimen: Azithromycin 10 mg/kg PO on day 1 AND 5 mg/kg PO for 4 more days
References
- ↑ Rolain, J.M. (2004). "Recommendations for Treatment of Human Infections Caused by Bartonella Species". Antimicrobial Agents and chemotherapy. 48 (6): 1921–1933. doi:10.1128/AAC.48.6.1921-1933.2004. PMC 415619. PMID 15155180. Unknown parameter
|month=ignored (help) - ↑ 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.