TherapyPrognosis of TBE | Early summer meningoencephalitis (FSME)

TherapyPrognosis of TBE

The rehabilitation measures within the scope of a follow-up treatment, which can be carried out as in-patient in a rehabilitation clinic (rehab) or out-patient in a corresponding rehabilitation center, depend on the existing deficits. For memory disorder and lack of concentration there are different exercise groups and computer-supported training. Balance disorders can be improved by appropriate physiotherapeutic measures, speech disorders by logopedic training. Since hearing disorders can occur frequently, a hearing test should be carried out four to six weeks after the illness in order to be able to initiate early on an ENT treatment with hearing aids or cochlear implants.

Vaccination against FSME

There is also a quick scheme for people who have decided to travel to an endemic area (risk area) at short notice. Here the vaccine is administered in two or three doses within three weeks. For people who decide very quickly, it is also useful to give the first vaccination shortly before departure. The vaccination for children is available from the first year of life.

TBE prophylaxis

The following recommendations exist for exposure prophylaxis (protection against tick bites):

  • When staying in forests or undergrowth in risk areas, light-colored, long-sleeved clothing and sturdy shoes should be worn, as tick repellent sprays, e.g. Autan, do not have a long effect.
  • Then you should systematically search your body and clothes for ticks.
  • If a tick has attached itself, it must be slowly pulled out with tick tongs. Supposed knowledge, that ticks can only be removed in a certain direction (clockwise or anti-clockwise) is not correct, because ticks have no thread. Tick forceps are available for a few euros in every pharmacy.
  • Never squeeze ticks or use oil or glue, as the tick in its death throes releases more viruses into the wound.
  • If possible, disinfect the wound afterwards.

After a complete vaccination, 99% of those vaccinated have complete protection against the TBE virus.

As a rule, three vaccinations are necessary for this. A booster vaccination is recommended every 3-5 years. For these vaccination regimens, effectiveness has been proven in clinical studies. Regular booster vaccinations should therefore be taken. If the vaccinations are up-to-date and have been carried out correctly, then there is virtually no chance of infection with the TBE virus.