Psittacosis medical therapy: Difference between revisions
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==Overview== | ==Overview== | ||
The infection is treated with [[antibiotic]]s. [[Tetracycline]]s and chloramphenicol are the drugs of choice for treating patients with psittacosis. Most persons respond to oral therapy (100 mg of [[doxycycline]] administered twice a day , 500 mg of[[tetracycline]] hydrochloride administered four times a day) or 500 mg of [[chloramphenicol]] palmitate orally every 6 hours. For initial treatment of severely ill patients, doxycycline hyclate may be administered [[intravenous]]ly at a dosage of 4.4 mg/kg (2 mg/lb) body weight per day divided into two infusions per day (up to 100 mg per dose). In past years, tetracycline hydrochloride has been administered to patients intravenously (10-15 mg/kg body weight per day divided into four doses per day). Remission of symptoms usually is evident within 48-72 hours. However, relapse can occur, and treatment must continue for at least 10-14 days after fever abates. Although its [[in vivo]] efficacy has not been determined, [[erythromycin]] probably is the best alternative agent for persons for whom tetracycline is contraindicated (''e.g.'', children aged less than 9 years and [[pregnant]] women). | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} |
Revision as of 16:29, 8 February 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
The infection is treated with antibiotics. Tetracyclines and chloramphenicol are the drugs of choice for treating patients with psittacosis. Most persons respond to oral therapy (100 mg of doxycycline administered twice a day , 500 mg oftetracycline hydrochloride administered four times a day) or 500 mg of chloramphenicol palmitate orally every 6 hours. For initial treatment of severely ill patients, doxycycline hyclate may be administered intravenously at a dosage of 4.4 mg/kg (2 mg/lb) body weight per day divided into two infusions per day (up to 100 mg per dose). In past years, tetracycline hydrochloride has been administered to patients intravenously (10-15 mg/kg body weight per day divided into four doses per day). Remission of symptoms usually is evident within 48-72 hours. However, relapse can occur, and treatment must continue for at least 10-14 days after fever abates. Although its in vivo efficacy has not been determined, erythromycin probably is the best alternative agent for persons for whom tetracycline is contraindicated (e.g., children aged less than 9 years and pregnant women).
References
da:Psittacosis de:Ornithose hr:Psitakoza it:Psittacosi no:Papegøyesyke simple:Psittacosis fi:Papukaijakuume sv:Papegojsjuka