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File: 123096_sep96_decls1_0035.txt
Subject: DETECTION OF MEDICAL DEFENSE AGAINST BIOLOGICAL MATERIALS
Unit: OTSG
Parent Organization: HSC
Box ID: BX003203
Folder Title: DETECTION OF MEDICAL DEFENSE AGAINST BIOLOGICAL MATERIALS
Document Number: 1
Folder Seq #: 21
UNCLASSIFIED
C. TELERAPY
Almost all cases of inhalation anthrax where treatment was
begun after patients were symptomatic have been fatal, regardless
of treatment. Historically, penicillin has been regarded as the
treatment of choice, with 2 million units given intravenously every
2 hours. Tetracycline and erythromycin have been recommended in
penicillin-sensitive patients. The vast majority of anthrax
strains are sensitive in vitro to penicillin. However, penicillin-
resistant strains exist naturally, and one has been recovered from
a fatal human case. moreover, it is not difficult to induce
resistance to penicillin, tetracycline, erythromycin, and many
other antibiotics through laboratory manipulation of organisms.
All naturally-occurring strains tested to date have been sensitive
to erythromycin, chloramphenicol, gentamicin, and ciprofloxacin.
In the current setting, treatment should be instituted at the
earliest signs of disease with ciprofloxacin (1000 mg initially,
followed by 750 mg bid) or doxycycline (200 mg initially, followed
by 100 mg q 12 hrs). Supportive therapy for shock, fluid volume
deficit, and adequacy of airway may all be needed.
D. PROPEFYLAXIS
VACCINE
A licensed, alum-precipitated, preparation of purified
Bacillus anthracis protective antigen (PA) has been shown to
be effective in preventing or significantly reducing the
10
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Document 109 f:/Week-36/BX003203/DETECTION OF MEDICAL DEFENSE AGAINST BIOLOGICAL MATERIALS/detection of medical defense against biological :1217960927452
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-36
Box ID = BX003203
Unit = OTSG
Parent Organization = HSC
Folder Title = DETECTION OF MEDICAL DEFENSE AGAINST BIOLOGICAL MATERIALS
Folder Seq # = 21
Subject = DETECTION OF MEDICAL DEFENSE AGAINST BIOLOGICAL
Document Seq # = 1
Document Date =
Scan Date =
Queued for Declassification = 01-JAN-1980
Short Term Referral = 01-JAN-1980
Long Term Referral = 01-JAN-1980
Permanent Referral = 01-JAN-1980
Non-Health Related Document = 01-JAN-1980
Declassified = 17-DEC-1996