Patients who fall into the docks
- These patients do not require any specific therapy.
- Patients should consult their GP (and let them know of the fall
in the docks) if they develop flu-like symptoms in the next 6 weeks.
- Previously we have given prophylaxis against Weil's disease (leptospirosis)
and Hepatitis A. However the risk of contracting these conditions
does not warrant continuing this policy in most cases
- Patients with prolonged emersion and open wounds may be treated with
- An antibiotic and hepatitis A normal immunoglobulin
- The immunoglobulin is kept in the fridge (dose is 250 units
for children < 10 years old, 500 units for children over the
age of 10 and adults
- Continue Doxycycline (one capsule OD) for two weeks and Amoxicillin 250 mgs, tds, for 5 days
