part 10 Flashcards
1
Q
What is the most common intestinal parasitic pathogen in the US?
A
Girardiasis
-survives in environment for moths
2
Q
How is Girardiasis spread?
A
- person to person
- food
- animals (especially puppies)
- contaminated water
3
Q
What are the clinical manifestations of Girardiasis?
A
- diarrhea
- anorexia
- intermittent loose stools
- adb cramps
4
Q
How do you test for Girardiasis?
A
- enzyme immunoassay (EIA)
- direct fluorescent antibody assay (DFA)
- duodenal specimens (string test)
5
Q
What is the therapeutic management for Girardiasis?
A
- metronidazole (Flagyl)
- tinidazol (Tindamax): 80-100% cure rate after single dose
- nitazoxanide (Alinia)
6
Q
After having Girardiasis how long should you wait before swimming in a pool?
A
-2 weeks symptom free
7
Q
Most common helminthic infection in the US?
A
enterobiasis (pinworm)
8
Q
Where is enterobiasis (pinworm) common?
A
- temperate climate zones
- crowded conditions, classroom, daycare centers
- hand to mouth age children
9
Q
How does one get the worms into the body?
A
- eggs are ingested/inhaled
- hatch in intestine and migrate
- adult female migrates out of anus at night to lay eggs
- movement on skin/mucous membranes causes intense itching
- child itches then gets eggs under the fingernails
10
Q
Primary symptom is perianal itching.
A
enterobiasis (pinworm)
