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Infekcije > 17. Potovalna in tropska medicina > Flashcards

17. Potovalna in tropska medicina Flashcards

1
Q

Kemoprofilaksa - malarija

A

Meklofin
Atovakon/progvanil
Doksiciklin
Klorokin

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2
Q

Povzročitelji drisk

A

Bakterije - ETEC in druge E. coli, šigele, kampilobakter, aeromonas
Virusi - rotavirus
Paraziti - giardia, cryptosporidium

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3
Q

Obdobja vročine pri malariji

A

Falciparum - stalna
Vivax, ovale, knowlesi - na 72h
Malariae - 96h

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4
Q

Zdravljenje malarije

A

Atovakon s progvanilom
Artemeter/lumefrantin
Kinin
Klorokin

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5
Q

Eradikacijsko zdravljenje malarije

A

Vivax, ovale
Primakin

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6
Q

Zdravljenje lišmanioze

A

Natrijev stiboglukonat
Amfotericin B
Pentamidin
Miltefosin
Zdravimo sistemsko in hude kožne oblike.

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7
Q

Zdravljenje shistosomoze

A

Prazikvantel

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8
Q

Shistomoza - povzročitelji

A

Hematobium, mansoni, japonicum, intercalatum, mekongi

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9
Q

Povzročitelji filarioze

A

Wuchereria bancrofti
Brugia malai
Brugia timori

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10
Q

Zdravljenje filarioze

A

Dietilkarbamazin citrat
Albendazol
Doksiciklin
Pri kronični obliki ni učinkovito

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11
Q

Inkubacijska doba šagasa

A

7-14 dni
Trypanosoma cruzi

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12
Q

Zdravljenje šagasa

A

Nifurtimoks, beznidazol

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13
Q

Zdravljenje spalne bolezni

A

Hematolimfatično obdobje: suramin, pentamidin

Meningoencefalitično obdobje: melarsoprol, eflornitin

Trypanosoma brucei (gambiense in rhodesiense)

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14
Q

Trebušni tifus - zdravljenje

A

Ciprofloksacin
Odpornost: ceftriakson
Ob hudem poteku dodamo deksametazon

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15
Q

Inkubacija kolere

A

12-72h
Vibrio cholerae - G-, fakultativni anaerob, O1, O139, TL enterotoksin, aktivacija cAMP
Sekretorna driska

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16
Q

Zdravljenje kolere

A

Doksicilin, ciprofloksacin
Otroci - eritromicin, TMP/SMX

17
Q

Melioidoza

A

Burkholderia pseudomallei

18
Q

Diagnostika melioidoze

A

Osamitev
Indirektni hemaglutinacijski test
Serologija

19
Q

Zdravljenje melioidoze

A

Protipseudomonasni cefalosporini, karbpanemi
+
kinoloni/doksiciklin
+
TMP/SMX
Peroralno zdravimo več mesecev, da zmanjšamo možnost ponovitve

20
Q

Kožna larva migrans

A

Ancylostoma
Srbeča papula, nato značilne srbeče ravne ali vijugaste spremembe
Potovanje ličink mačje ali pasje gliste

21
Q

Zdravljenje kožne larve migrans

A

Običajno se umiri v 4-6 tednih
Skrajšamo z abendazolom

Infekcije (22 decks)

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