Upload
emjay-balansag
View
221
Download
0
Embed Size (px)
Citation preview
7/29/2019 DAY 2 - Inflam and Immuno 2
1/61
7/29/2019 DAY 2 - Inflam and Immuno 2
2/61
7/29/2019 DAY 2 - Inflam and Immuno 2
3/61
7/29/2019 DAY 2 - Inflam and Immuno 2
4/61
7/29/2019 DAY 2 - Inflam and Immuno 2
5/61
7/29/2019 DAY 2 - Inflam and Immuno 2
6/61
7/29/2019 DAY 2 - Inflam and Immuno 2
7/61
7/29/2019 DAY 2 - Inflam and Immuno 2
8/61
7/29/2019 DAY 2 - Inflam and Immuno 2
9/61
7/29/2019 DAY 2 - Inflam and Immuno 2
10/61
7/29/2019 DAY 2 - Inflam and Immuno 2
11/61
7/29/2019 DAY 2 - Inflam and Immuno 2
12/61
7/29/2019 DAY 2 - Inflam and Immuno 2
13/61
7/29/2019 DAY 2 - Inflam and Immuno 2
14/61
7/29/2019 DAY 2 - Inflam and Immuno 2
15/61
7/29/2019 DAY 2 - Inflam and Immuno 2
16/61
7/29/2019 DAY 2 - Inflam and Immuno 2
17/61
7/29/2019 DAY 2 - Inflam and Immuno 2
18/61
7/29/2019 DAY 2 - Inflam and Immuno 2
19/61
7/29/2019 DAY 2 - Inflam and Immuno 2
20/61
7/29/2019 DAY 2 - Inflam and Immuno 2
21/61
7/29/2019 DAY 2 - Inflam and Immuno 2
22/61
7/29/2019 DAY 2 - Inflam and Immuno 2
23/61
7/29/2019 DAY 2 - Inflam and Immuno 2
24/61
7/29/2019 DAY 2 - Inflam and Immuno 2
25/61
7/29/2019 DAY 2 - Inflam and Immuno 2
26/61
7/29/2019 DAY 2 - Inflam and Immuno 2
27/61
7/29/2019 DAY 2 - Inflam and Immuno 2
28/61
7/29/2019 DAY 2 - Inflam and Immuno 2
29/61
7/29/2019 DAY 2 - Inflam and Immuno 2
30/61
7/29/2019 DAY 2 - Inflam and Immuno 2
31/61
7/29/2019 DAY 2 - Inflam and Immuno 2
32/61
7/29/2019 DAY 2 - Inflam and Immuno 2
33/61
7/29/2019 DAY 2 - Inflam and Immuno 2
34/61
7/29/2019 DAY 2 - Inflam and Immuno 2
35/61
7/29/2019 DAY 2 - Inflam and Immuno 2
36/61
7/29/2019 DAY 2 - Inflam and Immuno 2
37/61
7/29/2019 DAY 2 - Inflam and Immuno 2
38/61
7/29/2019 DAY 2 - Inflam and Immuno 2
39/61
7/29/2019 DAY 2 - Inflam and Immuno 2
40/61
7/29/2019 DAY 2 - Inflam and Immuno 2
41/61
7/29/2019 DAY 2 - Inflam and Immuno 2
42/61
7/29/2019 DAY 2 - Inflam and Immuno 2
43/61
Treating Cholera
Sack, David, et al . 2004. Seminar: Cholera. The Lancet. 363: 223-233.
7/29/2019 DAY 2 - Inflam and Immuno 2
44/61
7/29/2019 DAY 2 - Inflam and Immuno 2
45/61
Epidemic Control Measures
Hygienic disposal of human wasteAdequate supply of waterGood food hygiene
Thoroughly cooking food Eating food while its hot Preventing cooked foods from contacting
raw foods (including water or ice) Avoiding raw fruits or vegetables Washing hands after defecation & before cooking
http://www.who.int/mediacentre/factsheets/fs107/en/print.html
Sack, David, et al. 2004. Seminar:Cholera. The Lancet. 363: 223-233.
7/29/2019 DAY 2 - Inflam and Immuno 2
46/61
DEFINITIONLeptospirosis is a kind of zoonotic
infectious disease caused by pathogenic
leptospires;rats and swine are cardinal sourceof infection.
7/29/2019 DAY 2 - Inflam and Immuno 2
47/61
Causative Agent: Bacteria of theGenus Leptospira
7/29/2019 DAY 2 - Inflam and Immuno 2
48/61
7/29/2019 DAY 2 - Inflam and Immuno 2
49/61
DEFINITION clinical features:
three symptoms,
three signs,internal organ damage,seguelae of eyes and nerve system
treatment : penicillin.
7/29/2019 DAY 2 - Inflam and Immuno 2
50/61
Routes of transmission:(1) water borne (indirect contact
transmission):
by skin, mucosa, when skin is injured.(2) direct contact transmission:(3) food borne
PATHOGENESIS
7/29/2019 DAY 2 - Inflam and Immuno 2
51/61
PATHOGENESISleptospira
skin, mucosaInitial stage leptospiremia ( toxic symptoms)(1~3days) three symptoms :
fever,myalgia,headachethree signs:conjunctival suffussion;
muscle tenderness;
enlargement of thelymphnodes
7/29/2019 DAY 2 - Inflam and Immuno 2
52/61
PATHOGENESISsevere toxic symptoms
lesion of organs:- influenza form
- pneumorrhagic formmiddle stage - icterohemorrhagic form(3~10d) - meningoencephalitis
renal failure form.
7/29/2019 DAY 2 - Inflam and Immuno 2
53/61
Leptospirosis
7/29/2019 DAY 2 - Inflam and Immuno 2
54/61
Diagnostic test:
1.MAT (Microscopic Agglutination Test)
2.ELISADrugs:1.Oral doxycycline2.Ampicillin3.Streptomycin4.Intravenous Penicillin G
Leptospirosis
7/29/2019 DAY 2 - Inflam and Immuno 2
55/61
Leptospirosis
Health Teachings1.Provide education to clients telling them toavoid swimming in potentially contaminatedwater or flood water.2. Use of proper protection like boots, gloves
when work requires exposure to
contaminatedwater.3. Drain potentially contaminated water when
possible.
7/29/2019 DAY 2 - Inflam and Immuno 2
56/61
Leptospirosis
Nursing Management1. Isolate the patient and concurrentdisinfection
of soiled articles.2. Report all cases of leptospirosis.
3. Investigation of contacts and source of infection.
7/29/2019 DAY 2 - Inflam and Immuno 2
57/61
PATHOGENESIS
immunopathological reaction after fever; sequelae of eyes; reactive meningitis; cerebro arteritis obliterans. convalescent stage
7/29/2019 DAY 2 - Inflam and Immuno 2
58/61
7/29/2019 DAY 2 - Inflam and Immuno 2
59/61
7/29/2019 DAY 2 - Inflam and Immuno 2
60/61
7/29/2019 DAY 2 - Inflam and Immuno 2
61/61