Anthrax Author: Sandro Cinti, MD; Barbara Robinson-Dunn, PhD; Niklas Mackler, MD
Module updated - 2009-11-19
Author information and module status
Prevention
Screening
Diagnosis
Consultation for Diagnosis
Hospitalization
Non-drug Therapy
Drug Therapy
Patient Education
Consultation for Management
Follow-up

Tables
Figures
References
Glossary
What's New
Patient Information
Additional Resources
Tools
Frequently Asked Questions
Prevention
Is anthrax contagious?
Do I need antibiotics if I have been in the same room where an anthrax letter was opened?
Should I be vaccinated for anthrax?
Is the vaccine safe?
Can anthrax released in a bioterrorism attack be reaerosolized to cause disease?
Screening
If I think that I have been exposed to anthrax, are nasal swabs useful in diagnosis?
Is there a blood test that can tell me I have been exposed to anthrax before I get ill?
Can surface swabs be used to determine if a surface is contaminated with anthrax?
Diagnosis
What are the most common symptoms of the different forms of anthrax?
Are there specific tests that can help provide an early diagnosis?
Is it possible to diagnose anthrax before symptoms occur in people potentially exposed to a terrorist release?
Consultation for Diagnosis
Should a dermatologist be consulted for cutaneous anthrax?
Should an infectious disease specialist be consulted if anthrax is suspected?
Should a pulmonary physician be consulted if inhalational anthrax is suspected?
Hospitalization
Should all patients with anthrax be hospitalized?
How long should patients with inhalational anthrax remain in the hospital?
Are patients hospitalized with anthrax a risk to other patients?
Non-drug Therapy
Under what conditions should a thoracentesis be done?
When should a chest tube be placed for inhalational anthrax?
Drug Therapy
What is the drug regimen for severe anthrax disease?
What combination of drugs should be used to treat inhalational anthrax?
Can anthrax be treated with oral antibiotics?
What is the duration of treatment for anthrax?
Should anthrax vaccine be given along with antibiotics for treatment prophylaxis?
When should prophylactic antibiotics, vaccine, or both be given?
Patient Education
Was the patient inadvertently exposed to any powdery material via a letter or package?
Did the patient receive any threatening materials?
Do any of the patient's friends, family, or colleagues at work have a similar illness?
Consultation for Management
Should an infectious diseases specialist monitor antibiotic treatment of anthrax?
Should a pulmonologist monitor treatment of inhalational anthrax?
Should a dermatologist monitor treatment of cutaneous anthrax?
Follow-up
How long should antibiotics be given?
Does the length of administration of antibiotics change if vaccine is also administered?
Will there be any long-term effects of infection anthrax?
Does infection with anthrax prevent against future infection with anthrax?
| Patient Information
Barbara Robinson-Dunn, PhD has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations. Nicholas John Vietri, MD, MS, editorial consultant, has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations. Niklas Mackler, MD has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations. Sandro Cinti, MD has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations.
Darren B. Taichman, MD, PhD, Editor, PIER, has received grant support from Actelion Pharmaceuticals Ltd , and honoraria for continuing medical education grand rounds and lectures given.


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