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 | The infection is treated with [[antibiotic]]s. 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 | ||
==Medical therapy== | |||
*[[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. | |||
**500 mg of [[chloramphenicol]] palmitate orally every 6 hours. | |||
*For initial treatment of '''severely ill''' patients, doxycycline cyclate 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 16:34, 8 February 2012
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Risk calculators and risk factors for Psittacosis medical therapy |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
The infection is treated with antibiotics. 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
Medical therapy
- 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.
- 500 mg of chloramphenicol palmitate orally every 6 hours.
- For initial treatment of severely ill patients, doxycycline cyclate 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