What measures can be taken to prevent scrub typhus in endemic areas?

Updated: Apr 19, 2018
  • Author: David J Cennimo, MD, FAAP, FACP, FIDSA, AAHIVS; Chief Editor: Russell W Steele, MD  more...
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Preventive measures in endemic areas include the following:

  • Protective clothing

  • Insect repellents

  • Short-term vector reduction using environmental insecticides and vegetation control

Chemoprophylaxis regimens have included the following:

  • A single dose of doxycycline given weekly, started before exposure and continued for 6 weeks after exposure [1]

  • A single oral dose of chloramphenicol (typically not used in the United States) or tetracycline given every 5 days for a total of 35 days, with 5-day nontreatment intervals

No vaccine is available.

See Treatment and Medication for more detail.

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