[Treatment of pseudotuberculosis in military personnel (scientific basis and practical recommendations)]

The efficiency of 22 schemes of etiotropic therapy including treatment courses of different duration and new methods was studied basing on the results of examination of 1376 patients and retrospective analysis of 2008 cases of pseudotuberculosis in servicemen. Critical review of literature dealing with this problem was conducted. The causes of contradictory literary data have been revealed. Specificity of military service and pseudotuberculosis pathogenesis influencing on disease course and efficiency of its treatment has been shown. Taking into account our own investigations and analysis of literature there was developed the scheme of differentiated etiopathogenetic therapy of pseudotuberculosis with the use of original approaches including the method of two-stage intermittent antimicrobial therapy, stepped (parenteral-oral) etiotropic therapy, antihypoxants, gg-ABA-ergic and nootropic agents, adaptogenes, dose increase of physical load, new physiotherapeutic methods, endolymphatic administration of antibiotics.