What is the first choice of drug for treating scrub typhus

Scrub typhus is an acute disease that is highly contagious. The main source of infection is rodents. People must be careful when working outdoors. The disease generally has a latent period of five to twenty days in the human body, and the clinical symptoms are very complex and can easily lead to many complications. So what is the first choice for the treatment of scrub typhus?

First, what is the first choice of drug for treating scrub typhus? The treatment is mainly pathogenic treatment, and corresponding symptomatic treatment is given according to the location and degree of combined organ damage. Blood counts are closely monitored during treatment to prevent drug side effects. .In general, patients should rest in bed and eat liquid or semi-liquid food that is easily digested and absorbed. Supplement B vitamins and vitamin C. Keep bowel movements smooth and urine volume around 2000ml/d.

Second, the following antimicrobial drugs can be used for pathogen treatment as appropriate: (1) Macrolides: including erythromycin, roxithromycin, azithromycin, clarithromycin, etc., which have a good effect on scrub typhus. The usual dose of erythromycin is 1.2 g/d for adults and 25-30 mg/(kg·d) for children, taken 3 or 4 times a day, or administered by intravenous drip in 2 or 3 times. The usual dose of roxithromycin is 300 mg/d for adults, 100 mg/d for children weighing 12 to 23 kg, and 100 mg/d for children weighing 24 to 40 kg.

What is the drug of choice for treating scrub typhus? Macrolides, tetracyclines and chloramphenicol have strong inhibitory and killing effects on scrub typhus Rickettsia, and the patient's body temperature returns to normal within 24 hours of taking the medicine. Treatment with quinolones can also reduce the patient's body temperature to normal within 24 to 48 hours. Usually only one antibacterial drug is needed, and combination therapy is not necessary.