All patients with diphtheria, regardless of the severity of the condition, must be hospitalized in an infectious diseases hospital.
The treatment is as follows:
Diet – fortified, high-calorie, carefully cooked food.
Etiotropic therapy (that is, aimed at eliminating the cause of the disease) – the introduction of anti-diphtheria serum (PDS), the dose and number of times of administration depend on the severity and form of the disease. With a mild form, PDS is administered once intramuscularly in a dose of 20–40 thousand IU, with a moderate form – 50–80 thousand IU once or, if necessary, repeatedly in the same dose after 24 hours. When treating a severe form of the disease, the total dose increases to 90–120 thousand IU or even up to 150 thousand IU (infectious-toxic shock, DIC). In this case, 2/3 of the dose is administered immediately, and during the first day of hospitalization, 3/4 of the total dose should be administered. Continue reading