Medical expert of the article
New publications
Treatment of tularemia
Last reviewed: 04.07.2025
All iLive content is medically reviewed or fact checked to ensure as much factual accuracy as possible.
We have strict sourcing guidelines and only link to reputable media sites, academic research institutions and, whenever possible, medically peer reviewed studies. Note that the numbers in parentheses ([1], [2], etc.) are clickable links to these studies.
If you feel that any of our content is inaccurate, out-of-date, or otherwise questionable, please select it and press Ctrl + Enter.
In the treatment of tularemia, chloramphenicol, gentamicin, erythromycin, third-generation cephalosporins and other antibiotics are used in normal doses for 7-10 days.
Skin ulcers are treated with ointment dressings, and buboes with local compresses. In case of suppuration, buboes are opened with a wide incision with the evacuation of pus and necrotic masses.
Prevention of tularemia
Of great importance is the extermination of rodents by using pesticides, as well as the fight against ticks by special treatment of domestic animals and the territory affected by ticks. Measures to protect water sources, stores, warehouses and especially homes from the penetration of rodents are of great importance. Sanitary and educational work is carried out with the population.
In natural foci of tularemia, according to epidemiological indications, active immunization is carried out with the live dry tularemia vaccine of N.A. Gaisky and B.L. Elbert. The vaccination is done on the shoulder by scarifying the skin and rubbing the vaccine. Children are immunized from the age of 7. Revaccination is carried out after 5 years. Comprehensive anti-epidemic measures in natural foci of tularemia have led to a sharp decrease in the incidence rate in our country. Currently, only isolated cases of tularemia are noted.