Bubonic Plague Treatment
Treatment for bubonic plague includes admission to the hospital for antibiotics. A person with bubonic plague must be placed in isolation in order to prevent the spread of the disease. Treatment must be initiated quickly because the illness worsens rapidly. Those who are exposed to a person with bubonic plague are treated with antibiotics to prevent the illness.
Treatment for bubonic plague includes:
- Respiratory isolation for all patients with signs of pneumonia
- Intravenous fluids
- In order to prevent spread
- Antibiotics for bubonic plague
- May be necessary to drain infected lymph glands
Bubonic Plague Antibiotic Prophylaxis
People who are exposed to an individual with pneumonic plague require antibiotics for seven days, in order to prevent the disease.
- Prophylactic antibiotics should be given to those who have been exposed to rodent fleas during a plague outbreak.
- Prophylactic antibiotic therapy is recommended for persons who have handled an animal that is infected with the plague.
- Prophylactic antibiotic therapy is recommended for persons who have had close exposure to a person or an animal with plague pneumonia.
- Antibiotics for prophylaxis against plague:
Bubonic Plague Drugs
Antibiotics for the plague include:
|Streptomycin||15 mg/kg IM daily||10 days|
|Doxycycline (starting)||200 mg IV||One dose|
|Repeat dose||100 mg IV twice daily||10 days|
|Gentamicin||5 mg/kg IM/IV daily||10 days|
|Ciprofloxacin||500 mg oral BID||10 days|
|Chloramphenicol||25 mg/kg QID||One day|
|Repeat dose||15 mg/kg QID||10 days|
Bubonic Plague Questions For Doctor
The following are some important questions to ask before and after the treatment of bubonic plague.
Questions to ask before treatment:
- What are my treatment options?
- What are the risks associated with treatment?
- Do I need to stay in the hospital?
- How long will I be in the hospital?
- Am I contagious?
- For how long?
- What are the complications I should watch for?
- How long will I be on medication?
- What are the potential side effects of my medication?
- Does my medication interact with nonprescription medicines or supplements?
- Should I take my medication with food?
Questions to ask after treatment:
- Do I need to change my diet?
- Are there any medications or supplements I should avoid?
- When can I resume my normal activities?
- When can I return to work?
- What else can I do to reduce my risk for having this problem again?
- How often will I need to see my doctor for checkups?
- What local support and other resources are available?
Bubonic Plague Specialist
Continue to Bubonic Plague Prevention
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- Kool JL. Risk of person-to-person transmission of pneumonic plague. Clin Infect Dis. 2005 Apr 15;40(8):1166-72. 
- Lazarus AA, Decker CF. Plague. Respir Care Clin N Am. 2004 Mar;10(1):83-98.