Travel Lecture Flashcards

1
Q
Attenuated live virus vaccine
Administered at designated centers
Only one injection required
Protection afforded for 10 years
Areas of risk:  Equatorial Africa, Central and South America
A

Yellow fever

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2
Q

Female Anopheles mosquito

Plasmodium vivax, ovale, falciparum, malariae

A

Malaria

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3
Q

Female anopheles mosquitoes are…

A

Silent and night biting

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4
Q

Malaria is transmitted from Sporozoites in mosquito ______

A

saliva

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5
Q

P. Ovale and vivax both have a…

A

dormant liver stage

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6
Q

Falciparum is…

A

Malignant

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7
Q

Malariae is….

A

Chronic

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8
Q

1) Fever, chills, ha, myalgias, nausea
2) Diarrhea, abdominal pain, fatigue, confusion
3) Fevers become cyclic
4) Complications-DIC, splenic rupture, anemia

A

Malaria

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9
Q
  1. decrease parasite load

2. then eradicate parasite

A

2 principle therapy of malaria tx

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10
Q
  1. DEET
  2. Appropriate Clothing
  3. Permethrin
  4. Screens
A

Mosquito protection

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11
Q
Chloroquine
Mefloquine
Doxycycline
Atovaquone
Primaquine
A

Malaria chemoprophylaxis

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12
Q
  1. E. Coli
  2. Shigella/Salmonella
  3. Campylobacter
  4. Viral
  5. Parasites
  6. Unknown
A

Etiology of travelers diarrhea

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13
Q

About 50% of travelers diarrhea due to…

A

E. coli

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14
Q
  • Abrupt onset of loose stools
  • Abdominal cramping
  • Rectal urgency

*usually self limited

A

Travelers diarrhea

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15
Q

Immunosuppressed
inflammatory bowel dz
H2 blockers, PPIs, antacids

A

high risk of developing travelers diarrhea

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16
Q
  1. dietary restrictions
  2. pepto bismol
  3. immodium
  4. lomotil
  5. lactobacillus
  6. oral rehydration
A

Travelers diarrhea tx

17
Q

Fluoroquinolones
Rifaximin (Xifaxan)
Not recommended for routine use
Increased risk of resistant pathogens

A

Prophylaxis for travelers diarrhea (not usually recommended)

18
Q
Effective and proven - antibiotics
Short course – 3 Days
Pepto Bismol – Less effective
Antibiotics
	a) Quinolones
	b) Rifaximin
	c)  Azithromicin
Fluid-fluid-fluid
A

Travelers diarrhea tx