Treatment FAQ

what is the common treatment for diphtheria

by Dave Russel Published 2 years ago Updated 1 year ago
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Treatments include: Antibiotics. Antibiotics, such as penicillin or erythromycin, help kill bacteria in the body, clearing up infections. Antibiotics lessen the time that someone with diphtheria is contagious.Feb 5, 2022

Medication

Type of Diphtheria

  • Respiratory diphtheria.
  • Cutaneous diphtheria.
  • Malignant diphtheria.
  • Nasal diphtheria.

Self-care

The immunization schedule calls for:

  • DTaP vaccines at 2, 4, and 6 months of age
  • a booster dose given at 12–18 months
  • a booster dose given again at 4–6 years
  • Tdap vaccine given at 11–12 years
  • booster shots of Tdap or Td every 10 years after that to maintain protection
  • Tdap vaccine during the second half of each pregnant woman's pregnancy

Nutrition

Active immunization against diphtheria is the best method of prevention. For the purpose of vaccination, antigen mixtures, e.g., DPT or DT toxoids may be used. However, in the national EPI programme triple antigen (DPT) is recommended. Protection conferred by the primary series of 3 doses is excellent.

What type of treatment is available for diptheria?

People who are at increased risk of catching diphtheria include:

  • Children and adults who don't have up-to-date vaccinations
  • People living in crowded or unsanitary conditions
  • Anyone who travels to an area where diphtheria infections are more common

How to prevent diphtheria naturally?

What is the diphtheria prevention methods?

How does diphtheria spread and attack?

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What are the treatment and prevention of diphtheria?

Keeping up to date with recommended vaccines is the best way to prevent diphtheria. In the United States, there are four vaccines used to prevent diphtheria: DTaP, Tdap, DT, and Td. Each of these vaccines prevents diphtheria and tetanus; DTaP and Tdap also help prevent pertussis (whooping cough).

Is diphtheria easily treated?

Before antibiotics were available, diphtheria was a common illness in young children. Today, the disease is not only treatable but also preventable with a vaccine.

What is the most common diphtheria?

In faucial diphtheria, the most common type, the infection is limited mostly to the tonsillar region; most patients recover if properly treated with diphtheria antitoxin.

Which antibiotic is the drug of choice for treatment of diphtheria?

Erythromycin has been recommended as the drug of choice for diphtheria for such a long time, but several studies have reported the decrease of susceptibility to this drug [12–15].

Where is diphtheria most commonly found?

Endemic in many countries in Asia, the South Pacific, the Middle East, Eastern Europe and in Haiti and the Dominican Republic.

What part of the body does diphtheria affect?

Diphtheria can infect the respiratory tract (parts of the body involved in breathing) and skin. In the respiratory tract, it causes a thick, gray coating to build up in the throat or nose. This coating can make it hard to breathe and swallow. Diphtheria skin infections can cause open sores or shallow ulcers.

What is the other name for diphtheria?

Reports of epidemics of “throat distemper” began to appear in the 1500s, but before the 19th century, diphtheria was known around the world by many different names, such as Syrian ulcer, membranous angina, malignant croup, and Boulogne sore throat.

What diphtheria smells like?

Infectious diseases were known by their characteristics odors--scrofula as smelling like stale beer; typhoid, like freshly baked brown bread; rubella, like plucked feathers; and diphtheria, as "sweetish." Anosmics might be banned from medical school.

Is diphtheria a bacterial or viral infection?

Diphtheria is a highly contagious and potentially life-threatening bacterial disease caused by Corynebacterium diphtheriae. There are two types of diphtheria: respiratory and cutaneous. Respiratory diphtheria involves the nose, throat and tonsils, and cutaneous diphtheria involves the skin.

What type of infection is diphtheria?

Diphtheria is a serious infection caused by strains of bacteria called Corynebacterium diphtheriae that make a toxin (poison). It is the toxin that can cause people to get very sick. Diphtheria bacteria spread from person to person, usually through respiratory droplets, like from coughing or sneezing.

What are the 5 types of diphtheria?

There are four different types of diphtheria:classical respiratory diphtheria.laryngeal diphtheria.nasal diphtheria and.cutaneous diphtheria (skin lesions).

Is there a vaccine for diphtheria?

Thanks to diphtheria vaccines, that number has dropped by 99.9%. There are 4 vaccines that include protection against diphtheria: The DTaP vaccine protects young children from diphtheria, tetanus, and whooping cough. The DT vaccine protects young children from diphtheria and tetanus.

How to treat diphtheria?

Diphtheria is a serious illness. Doctors treat it immediately and aggressively. Treatments include: 1 Antibiotics. Antibiotics, such as penicillin or erythromycin, help kill bacteria in the body, clearing up infections. Antibiotics cut the time that someone with diphtheria is contagious. 2 An antitoxin. If a doctor suspects diphtheria, he or she will request a medication that counteracts the diphtheria toxin in the body from the Centers for Disease Control and Prevention. Called an antitoxin, this drug is injected into a vein or muscle.#N#Before giving an antitoxin, doctors may perform skin allergy tests. These are done to make sure that the infected person doesn't have an allergy to the antitoxin.#N#If someone has an allergy, he or she needs to be desensitized to the antitoxin. Doctors do this by initially giving small doses of the antitoxin and then gradually increasing the dose.

How to prevent diphtheria recurrence?

Once you recover from diphtheria, you'll need a full course of diphtheria vaccine to prevent a recurrence.

Why do people with diphtheria need to be in the hospital?

They may be isolated in an intensive care unit because diphtheria can spread easily to anyone not immunized against the disease.

What is the drug that is injected into the body to treat diphtheria?

An antitoxin. If a doctor suspects diphtheria, he or she will request a medication that counteracts the diphtheria toxin in the body from the Centers for Disease Control and Prevention. Called an antitoxin, this drug is injected into a vein or muscle. Before giving an antitoxin, doctors may perform skin allergy tests.

Can a doctor test for diphtheria?

Doctors can also take a sample of tissue from an infected wound and have it tested in a laboratory to check for the type of diphtheria that affects the skin (cutaneous diphtheria). If a doctor suspects diphtheria, treatment begins immediately, even before the results of bacterial tests are available.

Can diphtheria be found in a child's throat?

Doctors may suspect diphtheria in a sick child who has a sore throat with a gray membrane covering the tonsils and throat. Growth of C. diphtheriae in a laboratory culture of material from the throat membrane pins down the diagnosis. Doctors can also take a sample of tissue from an infected wound and have it tested in a laboratory to check for ...

What to do if you have diphtheria?

If you are diagnosed with, or suspected of having diphtheria, the doctor will start treatment right away. Treatment can start even before the lab test results are confirmed. Your doctor will prescribe diphtheria antitoxin to stop damage to organs and antibiotics, typically penicillin or erythromycin, to fight the infection.

How does diphtheria occur?

Diphtheria is caused by bacteria adhering to the lining of the respiratory system. These bacteria generate a toxin which damages tissue cells of the respiratory system. Within two or three days, the tissue left behind forms a bulky, gray coating.

Why does diphtheria cause sores?

The bacterium releases a toxin that causes the accumulation of gray tissue in the throat, leading to problems with swallowing and breathing. In warmer climates, someone with diphtheria might also develop skin sores that will not heal and may be covered with the gray tissue.

How long is diphtheria contagious?

People with diphtheria are kept in isolation to prevent others from becoming infected. An infected person is no longer contagious around 48 hours after taking antibiotics. When treatment ends, tests will be run again to make sure the bacteria are gone.

How long does it take for diphtheria to show symptoms?

The length of time for symptoms to show can be anywhere from 1 to 10 days after exposure.

Is there a diphtheria problem in the US?

In other countries where vaccinations are not given, the disease still exists. Therefore, there is still a potential for diphtheria to cause problems in the U.S.

What are the symptoms of diphtheria?

Left untreated, diphtheria can lead to: 1 Breathing problems. Diphtheria-causing bacteria may produce a toxin. This toxin damages tissue in the immediate area of infection — usually, the nose and throat. At that site, the infection produces a tough, gray-colored membrane composed of dead cells, bacteria and other substances. This membrane can obstruct breathing. 2 Heart damage. The diphtheria toxin may spread through your bloodstream and damage other tissues in your body, such as your heart muscle, causing such complications as inflammation of the heart muscle (myocarditis). Heart damage from myocarditis may be slight or severe. At its worst, myocarditis can lead to congestive heart failure and sudden death. 3 Nerve damage. The toxin can also cause nerve damage. Typical targets are nerves to the throat, where poor nerve conduction may cause difficulty swallowing. Nerves to the arms and legs also may become inflamed, causing muscle weakness.#N#If the diphtheria toxin damages the nerves that help control muscles used in breathing, these muscles may become paralyzed. At that point, you might need mechanical assistance to breathe.

Where is diphtheria most common?

Anyone who travels to an area where diphtheria infections are more common. Diphtheria rarely occurs in the United States and Western Europe, where children have been vaccinated against the condition for decades. However, diphtheria is still common in developing countries where vaccination rates are low.

What is a TDAP?

Tdap is a combined tetanus, diphtheria and acellular pertussis (whooping cough) vaccine.

How long does it take for diphtheria to show up?

Symptoms. Diphtheria signs and symptoms usually begin two to five days after a person becomes infected and may include: A thick, gray membrane covering your throat and tonsils. A sore throat and hoarseness. Swollen glands (enlarged lymph nodes) in your neck.

Can you transfer diphtheria to someone who hasn't been treated?

You can also transfer diphtheria-causing bacteria by touching an infected wound. People who have been infected by the diphtheria bacteria and who haven't been treated can infect people who haven't had the diphtheria vaccine — even if they don't show any symptoms .

Is diphtheria common in developing countries?

However, diphtheria is still common in developing countries where vaccination rates are low. In areas where diphtheria vaccination is standard, the disease is mainly a threat to unvaccinated or inadequately vaccinated people who travel internationally or have contact with people from less-developed countries.

Is diphtheria rare in the US?

Diphtheria is extremely rare in the United States and other developed countries, thanks to widespread vaccination against the disease. Diphtheria can be treated with medications. But in advanced stages, diphtheria can damage your heart, kidneys and nervous system. Even with treatment, diphtheria can be deadly, especially in children.

Why is it important to treat diphtheria?

Prompt diagnosis and treatment of diphtheria is essential to minimizing the risk of serious complications, including death, as well as preventing the spread of the infection to others.

What are the symptoms of diphtheria?

The general symptoms of diphtheria include: One of the hallmark features of diphtheria is the formation of a thick, hard, gray-colored coating (pseudomembrane) lining the throat. It may coat the tonsils, the nose, and other membranes in the respiratory tract.

How serious is diphtheria?

Diphtheria infection is far more serious when it infects the mucous membranes of the respiratory tract, such as the nose, throat, and lungs.

How many people die from diphtheria?

According to the Centers for Disease Control and Prevention (CDC), even when accurately diagnosed and treatment is started, one in 10 people who contract diphtheria will die from the infection. When the infection goes untreated, the fatality rate for diphtheria is believed to be as high as every one in two people.

Is diphtheria more common in the diaphragm?

Paralysis (particularly of the diaphragm) Another type of diphtheria infection, which is less common, affects the skin. Cutaneous diphtheria is usually less severe than respiratory diphtheria. At first, the skin infections may appear very similar to other chronic conditions like eczema or psoriasis .

Is diphtheria common in developed countries?

While diphtheria is not common in the developed world due to vaccination, it can cause serious complications, including death, if left untreated. The widespread use of vaccines has made respiratory diphtheria very rare, especially in developed nations.

Can diphtheria spread in spring?

diphtheria, which leads to less-severe symptoms. Diphtheria infection tends to spread more frequently during the winter and spring.

What antibiotics are used to treat respiratory diphtheria?

Antibiotics – erythromycin or penicillin to eradicate the bacteria and stop it from spreading. Patients with respiratory diphtheria and symptoms would be treated in an intensive care unit in the hospital, and closely monitored. Healthcare staff may isolate the patient to prevent the spread of the infection.

How many cases of diphtheria in 2014?

In 2014, there were 7,321 cases. Trusted Source. of diphtheria reported to the World Health Organization (WHO), globally. In people who are not vaccinated against the bacteria that cause diphtheria, infection can cause serious complications, such as nerve problems, heart failure, and even death.

How long does it take for diphtheria to show up in the mouth?

chills, headache, and fever. After a person is first infected with the bacteria, there is an average incubation period of 5 days before early signs and symptoms appear.

Who discovered diphtheria?

Late 19th century: The bacteria responsible for diphtheria are identified by the German scientists Edwin Klebs and Friedrich Löffler. 1892: Antitoxin treatment, derived from horses, first used in the U.S. 1920s: Development of the toxoid used in vaccines.

Is diphtheria contagious?

Prevention. Diphtheria is a contagious disease that usually infects the nose and throat. The hallmark sign is a sheet of grayish material that covers the back of the throat. It is rare in the Western world, but it can be fatal if left untreated.

When was diphtheria discovered?

In 1890, an effective treatment for diphtheria – antitoxin – was discovered by Shibasaburo Kitasato and Emil von Behring in Germany. Pharmaceutical companies and public health agencies began to produce the new serum therapy in earnest. The New York City Health Department, in particular, pursued largescale antitoxin production.

Who invented the diphtheria serum?

Diphtheria serum was a lifesaving treatment, but it did not prevent diphtheria infection. In 1914, William H. Park of the New York City Health Department devised the first vaccine against diphtheria. Building on earlier work by Behring, Park precisely mixed diphtheria antitoxin with diphtheria toxin.

How long did it take for diphtheria to be rushed to Nome?

With the town snowed in, a sled dog team rushed diphtheria antitoxin 674 miles from Nenana to Nome in five days and quelled the epidemic. The event is commemorated annually by the Iditarod Trail Sled Dog Race. Diphtheria serum was a lifesaving treatment, but it did not prevent diphtheria infection.

How to save a patient from suffocation by the pseudomembrane?

In order to try to save a patient from suffocation by the pseudomembrane, doctors performed tracheotomy or intubation procedures. During a tracheotomy, an incision was cut through the skin of the neck and through the trachea; a tube was inserted into the incision, and the patient then breathed through the tube.

Can pastilles be used to treat diphtheria?

The manufacturer of the product claimed that the fumes produced by the pastilles could both prevent and treat diphtheria by destroying “all contagious, putrefactive and disease-bearing germs.”. Even today, the disease is a serious threat.

Is diphtheria a scourge?

In 2017, diphtheria is unfamiliar to many Americans. Yet, before the advent of diphtheria antitoxin and vaccines, the disease was an ever-present source of terror. The illness was especially dangerous for young children, and was known as the “scourge of childhood.”. The bacteria that cause diphtheria invade the lining of the respiratory system, ...

What is diphtheria?

Diphtheria is an acute bacterial disease that can infect the body in the tonsils, nose, or throat and/or the skin. While this was a common childhood disease in the 1930s, a vaccine against diphtheria has now made it very rare in the U.S. and other developing countries.

How is diphtheria transmitted?

The diphtheria bacterium can enter the body through the nose and mouth, causing respiratory diphtheria. It is transmitted from person to person by respiratory secretions or by breathing in droplets that contain diphtheria bacteria from an infected person when he or she is coughing or sneezing.

What are the symptoms of diphtheria?

The following are the most common symptoms of diphtheria. However, each individual may experience symptoms differently. Symptoms may include:

What is the treatment for diphtheria?

Your healthcare provider will take into account your symptoms, overall health, your age and other factors when advising treatment for you.

How is diphtheria prevented?

In their first year of life, children in the U.S. are routinely given a triple vaccine that includes vaccine for diphtheria with several booster doses in childhood. This has made cases of diphtheria extremely rare in the U.S.

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Diagnosis

Treatment

Lifestyle and Home Remedies

Preparing For Your Appointment

Medically reviewed by
Dr. Juhi Mehrotra
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment depends on the severity of the condition.
Medication

Antitoxin: Neutralizes the toxin produced by bacteria.

Diphtheria antitoxin


Antibiotics: To stop the growth of the bacteria.

Erythromycin

Self-care

Always talk to your provider before starting anything.

  • Crucial to control the spread of infection
  • Recommended to admit the patients in hospital, especially in isolated intensive care unit to avoid further spreading of the infection

Nutrition

Foods to eat:

  • Fruits and vegetables
  • Soft foods-milk puddings, soup and oat flour porridge

Foods to avoid:

  • Spicy foods
  • Junk food such as burger, potato fries.

Specialist to consult

Otolaryngologist
Specializes in the diagnosis and treatment of diseases of the ear, nose and throat.
Pediatrician
Specializes in the health of children, including physical, behavioral, and mental health issues

Overview

Symptoms

  • Diphtheria is a serious illness. Doctors treat it immediately and aggressively. Doctors first ensure that the airway isn't blocked or reduced. In some cases, they may need to place a breathing tube in the throat to keep the airway open until the airway is less inflamed. Treatments include: 1. Antibiotics. Antibiotics, such as penicillin or erythrom...
See more on mayoclinic.org

Causes

  • Recovering from diphtheria requires lots of bed rest. Avoiding any physical exertion is particularly important if your heart has been affected. You may need to get your nutrition through liquids and soft foods for a while because of pain and difficulty swallowing. Strict isolation while you're contagious helps prevent the spread of the infection. Careful hand-washing by everyone in your …
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Risk Factors

  • If you have symptoms of diphtheria or have come into contact with someone who has diphtheria, call your doctor right away. Depending on the severity of your symptoms and on your vaccination history, you may be told to go to the emergency room or call 911 or your local emergency number for medical help. If your doctor determines that he or she should see you first, try to be well prep…
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Complications

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Diphtheria (dif-THEER-e-uh) is a serious bacterial infection that usually affects the mucous membranes of the nose and throat. Diphtheria is extremely rare in the United States and other developed countries thanks to widespread vaccination against the disease. However, many countries with limited health care or vaccinat…
See more on mayoclinic.org

Prevention

  • Diphtheria signs and symptoms usually begin 2 to 5 days after a person becomes infected. Signs and symptoms may include: 1. A thick, gray membrane covering the throat and tonsils 2. A sore throat and hoarseness 3. Swollen glands (enlarged lymph nodes) in the neck 4. Difficulty breathing or rapid breathing 5. Nasal discharge 6. Fever and chills 7. Tiredness In some people, i…
See more on mayoclinic.org

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