What is involved in the inpatient care of diphtheria?

Updated: Jan 18, 2019
  • Author: Bruce M Lo, MD, MBA, CPE, RDMS, FACEP, FAAEM, FACHE; Chief Editor: Jeter (Jay) Pritchard Taylor, III, MD  more...
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Answer

Provide supportive care, continuation of antibiotic treatment, and antipyretics for fever.

Closely observe for development of primary or secondary bacterial pneumonia.

Perform serial ECGs to detect cardiac abnormalities.

Provide physical therapy for patients with neurologic dysfunction.

Patients with endocarditis may require valve replacement, especially with previous prosthetic valves. However, some evidence suggests that antibiotic therapy with a beta-lactam with or without an aminoglycoside may be adequate in treating endocarditis with either a native or prosthetic valve. [20]

Respiratory isolation may be indicated.

Monitor for serum sickness or hypersensitivity reactions in patients treated with DAT.


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