Treatment and prevention of typhus

Treatment. Of specific means used antibiotics: tetracycline or terramycin, chloramphenicol. Chloramphenicol appoint 0.5 g 4 times a day, tetracycline 0.3 g 4 times a day to reduce the temperature and one or two days at normal temperatures, reducing the drug 3 times a day. To improve the tone of the cardiovascular system designate kordiamin 2 ml 2-3 times under the skin; depending on the severity of the disease - caffeine-benzoat of sodium in the morning and afternoon hours on 1 ml of 20% solution of 2 times under the skin, 5% solution hydrochloride ephedrine 0.6-1 ml 2-3 times a day under the skin or inside 0,025-0,05 g 2-3 times. When events collapse enter ephedrine hydrochloride intravenous (slowly), korglykonum or strofantin with glucose (40% solution), mezaton (1% solution) 1 ml subcutaneously or intramuscularly; designate funds, soothing the nervous system,- bromides, hypnotics (sodium bromide 6 grams per 200 ml and 1 table. L. 3-4 times a day), carbromal (till) 0.3 g or teminal-sodium (Nembutal), 0.1 g 1 powder for the night. At sudden headache appoint a cold in the head. When pronounced intoxication, infuse intravenous 5% glucose solution or izotoniceski solution of sodium chloride.
Patient typhus should be kept under close supervision of medical personnel. Necessary attentive and professional care, as cyproterone patients may appear suddenly a strong excitement or delirium (delirium, hallucination), when patients can jump out of bed, to run, to jump out of Windows. In other cases it may develop collapse. Most of these phenomena come at night, and during this period requires special attention to the patient. The nurse should often go into the house, to air it, to monitor the pulse, blood pressure, if necessary, to provide appropriate assistance. Patients with typhus need more water, especially natural juices. For the prevention of pneumonia often recommended to turn sick in bed. You should rinse your mouth with plain water or, better, 0.5-2% solution of boric acid, RUB vaseline lip, to monitor the cleanliness of the skin, especially the rump, large skewers, shoulder blades, elbows, daily make wiping the water of Cologne and the subsequent wiping dry. Ill have to put on a rubber circle. After each defecation and urination wash, especially among women, the scope of the perineum.
Patients should receive a full meal; the diet includes easily digestible, rich in vitamins and nutritious meals (table 13); the recommended feeding 4 - 5 times a day in small portions. Being discharged from the hospital after clinical recovery, but not earlier than at 12-14 day of normal temperature.
Prevention. Since the only source of infection when typhus is a sick man, a key measure of struggle are early detection (timely diagnosis of the disease and early hospitalization (insulation) of the patient. With early hospitalization sick (no later than 3-4-th day from the onset of new cases of the disease in the same hearth at observance of these conditions do not exist.
All around the patient faces are full sanitation; is disinsection of premises, where lived the patient, clothing and bedding.
In a settlement is established epidemiological surveillance for 71 days (25 of them daily thermometry, and then a weekly visit to the home-exposed and their poll). Persons who have been diagnosed with fever, admitted to a makeshift Department of infectious hospital. When repeated cases of typhus and there is rampant among the population spend the household full sanitary processing (see).
For specific prophylaxis of typhus is used combined living ciproterona vaccine GXV-that is, the Vaccine is injected subcutaneously once in a dose of 0.25 ml, then after 2 years in the same dose and annually in the same dose. Vaccinated persons aged from 16 to 60 years.
The patient is admitted to the hospital with typhus or suspected typhus, is sanitation. Hair cutting machine, pubic hair and underarm shaving. In the presence of rampant hairy parts of the body plentifully moisten soap-kerosene emulsion (25 parts hot water dissolve 30 of the soap green or business; then mixed with 45 parts of kerosene). After that head to tie scarf. 20-30 min. patient washed in warm, soapy bath. In the absence of liquid insecticides on hairy parts of body are pollinated by pyrethrum or 5-10% of dust DDT. After 30 minutes the patient wash.
Things patient (clothes, linen, footwear) is Packed in special bags and sent to disinfection.