Multidrug-resistant Germs: Therapy

General measures

  • Observance of the general rules of hygiene! One of the easiest ways to keep yourself and others healthy is to wash your hands regularly. Hands should be washed under clean running water for at least 20 seconds.
  • Nicotine restriction (refrain from tobacco use).
  • Limited alcohol consumption (men: max. 25 g alcohol per day; women: max. 12 g alcohol per day).
  • Limited caffeine consumption (max 240 mg of caffeine per day; equivalent to 2 to 3 cups of coffee or 4 to 6 cups of green/black tea).
  • Aim for normal weight! Determination of BMI (body mass index, body mass index) or body composition by means of the electrical impedance analysis and, if necessary, participation in a medically supervised weight loss program or program for the underweight
    • BMI ≥ 25 → participation in a medically supervised weight loss program.
    • Falling below the BMI lower limit (from the age of 19: 19; from the age of 25: 20; from the age of 35: 21; from the age of 45: 22; from the age of 55: 23; from the age of 65: 24) → Participation in a medically supervised program for the underweight.
  • Review of permanent medication due topossible effect on the existing disease.

Vaccinations

The following vaccinations are advised, as infection can often lead to worsening of the present disease:

  • Flu vaccination
  • Pneumococcal vaccination

Travel vaccinations in immunosuppression

Nutritional medicine

  • Nutritional counseling based on nutritional analysis
  • Nutritional recommendations according to a mixed diet taking into account the disease at hand. This means, among other things:
    • Daily total of 5 servings of fresh vegetables and fruits (≥ 400 g; 3 servings of vegetables and 2 servings of fruits).
    • Once or twice a week fresh sea fish, i.e. fatty marine fish (omega-3 fatty acids) such as salmon, herring, mackerel.
    • High-fiber diet (whole grains, vegetables).
  • Observance of the following special nutritional recommendations:
    • Patients with immunodeficiency / susceptibility to infection, for example, chemotherapy, must be extremely vigilant and careful in everyday life. For example, foods that are not sterilized and thus contain many pathogens (e.g., N. Listeria) should be avoided.The following rules should be observed in food selection and preparation:
      • Avoid: Raw or only soft-boiled eggs, as well as fried eggs and dishes containing raw eggs (tiramisu, dishes with beaten egg whites); raw milk or raw milk products (raw milk cheese).
      • All dishes should be cooked for at least 10 minutes at a minimum of 60 ° C.
      • Opened food should be used up or the rest thrown away.
      • Ice cream only from the freezer; soft ice cream should not be eaten, as it often contains pathogens.
    • Diet rich in:
  • Other specific dietary recommendations depending on the cause of immunodeficiency / susceptibility to infection.
  • See also under “Therapy with micronutrients (vital substances)” – if necessary, taking a suitable dietary supplement or dietary food.
  • Detailed information on nutritional medicine you will receive from us.

Sports Medicine

  • Endurance training (cardio training) and strength training (muscle training).
    • Any kind of exercise (in moderation) is helpful to reduce stress and strengthen the immune system.
    • Endurance training of moderate intensity and volume strengthens the immune system; it is important to adapt the training individually to one’s own training condition. Training beginners, for example, benefit from two to three times a week of endurance training at about 30-minute training sessions.Suitable training measures are: Jogging and (Nordic) walking in the fresh air or alternatively indoor training on the cycle ergometer, the treadmill, on the cross trainer or with a rowing machine.
  • Preparation of a fitness or training plan with appropriate sports disciplines based on a medical check (athlete check) depending on the cause of immunodeficiency / susceptibility to infection.
  • For detailed information on sports medicine, please contact us.