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Microbio -17- Traveler's health #1

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.

WHat are the most common disease that are vaccinized against or treated prophylactically   Diarrhea, Hep A, Malaria, Yellow Fever, Typhoid  
What is the virus common among cruise ships   norovirus  
What is the most common cause of traveler's diarrhea   E. Coli  
What is the route of infection of E. Coli causing traveler's diarrhea   oral fecal route  
What are the less common causes of traveler's diarrhea   Campylobacter, shigella, salmonella, viruses and parasites are less common.  
What should you advise the patient who is traveling to a foreign country   avoid foods that are not steaming hot, raw vegetables and fruite they have not peeled themselves and tap water including ice  
What is the recommended antibiotic for prophylaxis by the CDC   CDC actually doesn't recommend prophylaxis with travelers diarrhea  
What can you give as a more natural prophylaxis for travelers diarrhea   probiotics are more natural studies suggest lactobacillus GG may have protection rates up to 47%  
What can be given to relieve symptoms in less than 24 hrs for traveler's diarhhea   imodium + Cipro  
If traveler's diarrhea is associated with high fever or bloody stools what is recommended treatment for adults   Cipro for three days  
infection that has similar risk factors to traveler's diarrhea, Is viral (RNA picornavirus Single serotype worldwide) and often endemic in certain areas is trasmitted by oral-fecal route of transmission Marked by acute disease and asymptomatic infection   Hep A  
Is there a chronic infection with Hep A   no protective antibodies develop in response to infection and confers lifelong immunity  
What are the s/sx of hep a infection   include fever, malaise, stomach cramps and Jaundice in adults,  
What is the common prevention for Hep A   Vaccination and if no vaccination you can give gamma globulin  
Common infection worldwide that is transmitted via mosquito   Malaria  
How many people each year die from malaria   one million  
What is uncomplicated malaria   the classical malaria attack that last 6-10 hours but is rarely observed consists of -a cold stage -a hot stage -a sweating stage  
How often doe the classical umcomplicated malaria attack present   occurs every second day with tertian parasites and every third day with quartan parasite  
HOw can you dx malaria with blood   get a blood sample during malaria attack and stain it with giemsa and is the gold standard for lab confirmation of malaria.  
Besides blood smear how else can you dx malaria   rapid diagnostic test but is only approved for 2 malaria antigens  
What stage of the malaria infection are most drugs targeted at   most drugs are active against the parasite form in the blood  
What is the protocol for a patient who will be traveling to a malaria endemic area   give them prophylaxis treatment.  
How is yellow fever transmitted   transmitted by mosquito bite  
What precautions should be taken in yellow fever endemic areas   get vaccine and use DEET and permethrin repellents to avoid mosquito bites  
Disease caused by Salmonella typhi or paratyphoid   Typhoid Fever  
What are the main sources of infection with typhoid fever   contaminated water, milk and food handlers who are carriers of the disease.  
What are the s/sx of typhoid infection   insidious onset of fever, headache, constipation, malaise, chills, myalgia (very similar to other infectious disease) Confusion, delerium, intestinal perforation and death may occur in severe cases.  
What is the tx for typhoid   antimicrobial therapy shortens the clinical course of typhoid fever and reduces the risk of death.  
How can you prevent typhoid   can be prevented by vaccination or oral route pill  
WHat is the dermatological sign of typhoid fever   rose spot that blanches with slide  
what has been developed that aids in dx of norovirus infection   RT-PCR tests that can be used to test stool samples of patient  
what is the prognosis and tx for norovirus   most patients will be ill on briefly and the greatest fear is dehydration from vomiting and diarrhea  
How does norovirus typically present   presents as an acute-onset of vomiting, watery non bloody diarrhea with abdominal cramps and nausea  
If someone was talking about being infected with norwalk virus what other name could they use to describe their infection   norovirus  


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