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2p EPIDEMIO > CÓLERA > Flashcards

CÓLERA Flashcards

1
Q

AGENTE?

A

VIBRIO CHOLERA

MOVIL X SU FLAJELO

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2
Q

CUALES SON LOS 2 SEROTIPOS PRINCIPALES QUE SE ASOCIAN A BROTES Y EPIDEMIAS?

A
  • 01
  • 0139
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3
Q

EPIDEMIOLOGIA

A

AMBIENTES MARINOS, RIOS, LAGOS
(MOLUSCOS Y CRUSTACEOS)

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4
Q

COMO DEFINES UNA ZONA ENDEMICA DE COLERA?

A

3 DE LOS ULTIMOS 5 AÑOS HAYA HABIDO CASOS CONFIRMADOS DE TRANSMISION LOCAL

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5
Q

COMO DEFINES UN BROTE DE COLERA

A

1 CASO CONFIRMADO DE TRANSIMSION LOCAL EN ZONA DONDE NO SUELE HABER COLERA

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6
Q

TEMPERATURA IDEAL PARA EL CRECIMIENTO?

A

36°

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7
Q

COMO LLEGA AL HUMANO?

A

CONSUMO DE PRODUCTOS MARINOS/INGESTA DE AGUAS CONTAMINADAS

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8
Q

FR

A
  • CONSUMO DE PRODUCTOS MARINOS
  • COCCION INSUFICIENTE
  • MANEJO INADECUADO DEL AGUA
  • ACLORHIDRIA GASTRICA
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9
Q

RESERVORIO?

A
  • CRUSTACEOS
  • HUMANO
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10
Q

PT

A

MIENTAS SE SIGA EXPULSANDO BACTERIA ATRAVES DE HECES
1-10 DIAS POST INFECCION SIGUE SIENDO (+)

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11
Q

PI

A

HORAS- 5 DIAS
~2-3 DIAS

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12
Q

MT

A

CONSUMO DE AGUA Y ALIMENTOS CONTAMINADOS CON HECES

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13
Q

CC

A
  • DIARREA ACUOSA CON OLOR A PESCADO
  • DIARREA EN AGUA DE ARROZ
  • VOMITO
  • COLICO
  • DESHIDRATACION (FONTANELA HUNDIDA)
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14
Q

TIPO DE INFECCION CON EL BIOTIPO TOR

A

ASX

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15
Q

TASA DE LETALIDAD SI NO SE TRATA?

A

50%

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16
Q

TASA DE LETALIDAD CON TX OPORTUNO?

17
Q

DX DIF

A
  • E. COLI ENTEROTOXIGENICA
18
Q

DX?

A
  • CLINICO
  • MUESTRA RAPIDA DE HECES FRESCAS
  • CULTIVO
19
Q

DX GOLD STANDARD

A

CULTIVO
(HISOPO DE CARY BLADE EL MEDIO DE TRANSPORTE)

20
Q

COMPLICACIONES

A
  • DESHIDRATACION
  • DESEQUILIBRIO HIDROELECTROLITICO
  • COLAPSO CIRCULATORIO
  • SEPSIS
  • MUERTE
21
Q

TX?

A

REPOSISICON DE LIQUIDOS + ATBIOTERAPIA

22
Q

ATB?

A
  • DOXICICLINA
  • TERTACICLINA + TRIMETROPRIM + SULFAMETOXAZOL
  • AZITROMICINA
23
Q

MEDIDAD DE PREVENCION

A
  • HIGIENE
  • ASIALAMIENTO POR CONTACTO Y ENTERICO
  • HISOPADO RECTAL A FAMILIARES/CONTACTOS + QUIIPROFILAXIS
24
Q

QUIMIPROFILAXIS DE LOS CONTACTOS

CUALES MEDS

A
  • ERITROMICINA OP DOXI
  • SUERO ORAL
25
Q

HAY VACUNA?

26
Q

CUAL ES LA VACUNA?

A

MONOVALENTE CON CEL. MUERTAS

27
Q

CUANTAS DOSIS DE LA VACUNA?

A

2
SEPARADOS X 1 SEMANA

REFUERZO A LOS 2 AÑOS

28
Q

TIPO DE REPORTE?

2p EPIDEMIO (11 decks)

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