How is mononucleosis (mono) treated?
Treatment mainly involves taking care of yourself, such as getting enough rest, eating a healthy diet and drinking plenty of fluids. You may take over-the-counter pain relievers to treat a fever or sore throat. Treating secondary infections. Occasionally, a streptococcal (strep) infection accompanies the sore throat of mononucleosis.
How should clinicians look after patients with mononucleosis (mono)?
Finally, all clinicians looking after patients with mononucleosis should be aware of the potential complications, and make the appropriate referral to the specialist when symptoms arise. [12][13] an interprofessional team approach to the evaluation and education of the patient will lead to the best outcomes. (Level V) Outcomes
Should I be quarantined if I have mononucleosis?
If you have mononucleosis, you don't necessarily need to be quarantined. Many people are already immune to the Epstein-Barr virus because of exposure as children. But plan on staying home from school and other activities until you're feeling better. Seek the help of friends and family as you recover from mononucleosis.
Who might get mononucleosis (mono)?
Who might get mononucleosis (mono)? There are often two peaks when people acquire EBV: early school age children and again around adolescence/young adulthood. Young children are often asymptomatic, whereas teenagers and people in their 20s are most likely to get mono.
What is the treatment plan for infectious mononucleosis?
There's no specific therapy available to treat infectious mononucleosis. Antibiotics don't work against viral infections such as mono. Treatment mainly involves taking care of yourself, such as getting enough rest, eating a healthy diet and drinking plenty of fluids.
What laboratory testing is commonly done when mono is suspected?
Monospot test. This test looks for specific antibodies in the blood. These antibodies show up during or after during certain infections, including mono.
How is mono and strep treated?
Because mono is caused by a virus, antibiotics would not help you get better. But some people with mono get strep throat at the same time. Antibiotics will help strep throat go away.
Which are used to make a clinical diagnosis of mononucleosis?
The diagnosis of infectious mononucleosis (mono) is usually made based on the symptoms, findings in a physical examination, and blood tests. Mono is usually caused by the Epstein-Barr virus (EBV) or similar viruses, but strep throat and some other conditions can cause similar signs and symptoms.
What are the laboratory findings in a patient who has mononucleosis?
Findings consistent with infectious mononucleosis include a differential that demonstrates greater than 50% lymphocytes, an absolute lymphocyte count greater than 4500, or an elevated lymphocyte count with greater than 10% atypical lymphocytes.
Which test is most specific for infectious mononucleosis?
Tests for antibodies to Epstein-Barr viral capsid antigen or Epstein-Barr nuclear antigen are the most sensitive, are highly specific, and are also the most expensive for diagnosing infectious mononucleosis (strength of recommendation [SOR]: C, based on validating cohort study).
How can you prevent mononucleosis?
Prevention. Mononucleosis is spread through saliva. If you're infected, you can help prevent spreading the virus to others by not kissing them and by not sharing food, dishes, glasses and utensils until several days after your fever has improved — and even longer, if possible.
How is Epstein Barr treated?
Although no medicine can cure an EBV infection, you can take these steps at home to ease your symptoms:Get plenty of rest.Drink a lot of water and other liquids to stay hydrated.Suck on lozenges or ice pops, or gargle with warm salt water, to make your sore throat feel better.More items...•
What antibiotic is good for strep?
Penicillin and amoxicillin are common antibiotics used to treat strep throat. Other antibiotics are ordered for people who are allergic to penicillin. Your healthcare provider may give your child a shot or prescribe an antibiotic in either pill or liquid form. The pills or liquid are usually taken for 10 days.
What factors must be considered before a diagnosis of infectious mononucleosis can be made?
How preadolescents acquire the virus is not known. A typical clinical picture with a positive heterophile test is usually sufficient to make the diagnosis, but heterophile antibodies are not specific and do not develop in some patients. EBV-specific antibody profiles are the best choice for staging EBV infection.
What is the gold standard test for mononucleosis?
Currently, serum testing for EBV-specific antibodies is considered the gold standard for diagnosis, but rapid results are usually not obtainable.
What are the differential diagnosis of infectious mononucleosis?
Differential Diagnosis The differential includes cytomegalovirus, human immunodeficiency virus (HIV), human herpesvirus type 6, hepatitis B, and tick-borne illnesses such as Lyme disease.
How long does it take to recover from mononucleosis?
Most people start to recover from mononucleosis within 2 weeks, though some symptoms, such as fatigue, can take 3-4 weeks or even longer to go away. So a common treatment plan for mono is rest with a gradual return to normal activity. The goal is to ease your symptoms and treat any complications that happen.
How long does it take for a monospot test to show antibodies?
This test isn’t always accurate, especially in younger children, and it takes several days for it to show the presence of the antibodies after a child starts to feel ill. The “monospot” is one test that checks for heterophile antibodies. The results of these tests are not always clear, so you may need even more tests.
Can you take aspirin with mono?
In case mono has affected your liver, check with your doctor before you take acetaminophen. Don’t give aspirin to children or teens. It’s been linked to a disease called Reye's syndrome, a serious illness that can be life-threatening. Call 911 if you or your child is having any trouble breathing.
Can you get an EBV test for mono?
You may also get an EBV test if you don’t seem to have a typical case of mono. This blood test checks for Epstein Barr virus. Doctors usually don’ t need EBV test results to diagnose mono. But it can help them find out if the Epstein Barr virus is to blame.
How common is mono?
The Epstein-Barr virus (EBV) that causes mono is extremely common. Around 90% of Americans are infected with it by age 35. Not everyone who has the virus develops mono symptoms — some people only carry the virus.
How long does mono last?
Symptoms of mono vary, and they can be mild or severe. They tend to come on gradually. If you get sick with mono, it will probably happen four to six weeks after you come in contact with EBV. These symptoms may last for four weeks or longer: Enlarged spleen or liver. Extreme fatigue.
Why is mono called the kissing disease?
Mono is sometimes called “the kissing disease” because it spreads easily through bodily fluids like saliva. For most people, mono isn’t serious, and it improves without treatment. Still, extreme fatigue, body aches and other symptoms can interfere with school, work and daily life.
What is the best medicine for enlarged spleen?
These drugs include ibuprofen (Advil®) and naproxen (Aleve®). Acetaminophen (Tylenol®) also works. Sore throat soothers: You can gargle with salt water and use throat lozenges. Avoiding sports: Physical activity can put too much pressure on an enlarged spleen, increasing the risk of rupture.
Does mono work against other viruses?
Antibiotics to fight bacterial infection and antiviral medications to kill other viruses don’t work against mono. Instead, treatments focus on helping you feel better by relieving symptoms. Your care might include: Rest: Mono makes you very tired. Sleep helps your body fight infection.
Can mono cause spleen bleed?
This gland in the upper left abdomen (belly) helps filter blood. If your spleen bursts, it can bleed into your abdomen.
Can mononucleosis cause a sore throat?
Most cases of mononucleosis (mono) don’t cause serious problems. However, symptoms like extreme fatigue, sore throat and body aches can disrupt school, work and life. Your healthcare provider can provide suggestions for finding relief. Rest and over-the-counter medications are often the best ways to ease symptoms.
Medicines
Acetaminophen decreases pain and fever. It is available without a doctor's order. Ask how much to take and how often to take it. Follow directions. Acetaminophen can cause liver damage if not taken correctly.
Prevent the spread of mono
Do not share food or drinks. Do not kiss anyone. The virus may be in your saliva for several months after you feel better. Wash your hands often. Use soap and water. Wash your hands after you use the bathroom, change a child's diapers, or sneeze. Wash your hands before you prepare or eat food.
Follow up with your healthcare provider in 3 to 4 weeks
Write down your questions so you remember to ask them during your visits.
Further information
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
Why do we need treatment plans?
Treatment plans can reduce the risk of fraud, waste, abuse, and the potential to cause unintentional harm to clients. Treatment plans facilitate easy and effective billing since all services rendered are documented.
What is a mental health treatment plan?
At the most basic level, a mental health treatment plan is simply a set of written instructions and records relating to the treatment of an ailment or illness. A treatment plan will include the patient or client’s personal information, the diagnosis (or diagnoses, as is often the case with mental illness), a general outline ...
What is the treatment contract?
Treatment Contract – the contract between the therapist and client that summarizes the goals of treatment. Responsibility – a section on who is responsible for which components of treatment (client will be responsible for many, the therapist for others)
What is blended care in therapy?
Blended care involves the provision of psychological services using telecommunication technologies.
Who can benefit from mental health treatment?
A wide range of people can benefit from mental health treatment plans, including: People living with a serious mental illness. People experiencing distress in one or more areas of life. Children, parents, and/or families. The elderly. Individuals.
Do people with similar problems have the same treatment plan?
While people in similar circumstances with similar issues may have similar treatment plans, it’s important to understand that each treatment plan is unique. There are often many different ways to treat the same problem – sometimes there are dozens of different paths that treatment could take!
Diagnosis
- Physical exam
Your doctor may suspect mononucleosis based on your signs and symptoms, how long they've lasted, and a physical exam. He or she will look for signs such as swollen lymph nodes, tonsils, liver or spleen, and consider how these signs relate to the symptoms you describe.
Lifestyle and Home Remedies
- Besides getting plenty of rest, these steps can help relieve symptoms of mononucleosis: 1. Drink plenty of water and fruit juices.Fluids help relieve a fever and sore throat and prevent dehydration. 2. Take an over-the-counter pain reliever. Use pain relievers such as acetaminophen (Tylenol, others) or ibuprofen (Advil, Motrin IB, others) as needed. These medicines have no antiviral prop…
Coping and Support
- Mononucleosis can last weeks, keeping you at home as you recover. Be patient with your body as it fights the infection. For young people, having mononucleosis will mean some missed activities — classes, team practices and parties. Without a doubt, you'll need to take it easy for a while. Students need to let their schools know they are recovering from mononucleosis and may need …
Preparing For Your Appointment
- If you suspect you have mononucleosis, see your family doctor. Here's some information to help you get ready for your appointment and know what to expect from your doctor.