Diphtheria - Treatment

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What is the treatment for diphtheria?

There are two treatment strategies that are used for patients diagnosed with diphtheria. Both are most effective when utilized early in the disease process. The first treatment is antibiotics. The CDC recommends erythromycin as the first-line therapy for patients older than 6 months of age. For patients who are younger or who cannot take erythromycin, the CDC recommends intramuscular penicillin. Patients usually become noninfectious after about 48 hours of antibiotic treatment and should be held in isolation until that time to prevent spread of the disease.

The second treatment is administration of diphtheria antitoxin. However, this antitoxin is only available from the CDC. Diphtheria antitoxin reduces the progression of the disease by binding diphtheria toxin that has not yet attached to the body's cells. The antitoxin is derived from horses, so recipients should not be treated if they are allergic. Your doctor will make the decision if you need only antibiotics or antibiotics plus antitoxin based on your symptoms, immunization status, and disease progression.

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Comment from: Irene, 75 or over Female Published: September 09

I am now 88 years old, but I had an experience when I was about 8 years old when the doctor diagnosed me with diphtheria. He said he would try a new theory on treating me...and it was with shots of horse urine. Well, it worked, because I have had a long, happy, and healthy life, thanks to that doctor and God.

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