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Yellow fever: treatment
Last reviewed: 23.04.2024
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Specific treatment of yellow fever is not developed. The use of blood serum of sick people and naturally immunized monkeys proved ineffective. All treatment of yellow fever is reduced to the use of pathogenetic drugs.
With mild and moderate forms of yellow fever, strict bed rest, careful nursing, sparing diet, plentiful drink are prescribed; according to the indications - different chemotherapy drugs. Patients with severe illness are treated intensively for yellow fever. Assign cardiotropic drugs, blood transfusion and blood replacement fluids. When the kidneys are affected, hemodialysis is indicated. Recommendations for the use of heparin and corticosteroids are based only on theoretical data: no controlled studies have been performed.
Approximate terms of incapacity for work
Determine the severity of the course of the disease and the presence of complications. The period of incapacity for work is from 1 month (with a moderate to severe course) to 12 months (with severe course and complications).
Clinical examination
The period of dispensary observation is determined on the basis of the severity of the transferred disease: for a mild form, it is 3 months, with a moderate and severe - 12 months. After 1 month after discharge, the first examination in a hospital or KIZ is carried out. Persons with identified impairments or worsening are shown repeated hospitalization.
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What should the patient know?
After discharge from the hospital, patients should follow the diet for 6 months (the same as for viral hepatitis). It is necessary to limit physical activity for 3-6 months. Recommendations the doctor determines individually, depending on the severity of the course of the disease and the presence of complications.
What prognosis is yellow fever?
Yellow fever has a favorable prognosis for mild and moderate forms of the disease. In severe forms, the mortality rate is 25%. Even with severe forms after the 12th day of the disease, recovery comes. Elderly people do not tolerate the disease. Least mortality among children. Even during severe epidemics, it does not exceed 3-5%.