diphtheria

Question 1

is there a carrier state

Answer 1

yes chronic carries that can shed for 6 months or more so ab reduces shedding time

Question 2

is the organism always pathogenic

Answer 2

like meningitis some people harbour the bacteria in their airway passages

Question 3

moa

Answer 3

respiratory
rarely touching skin lesion -

SIMILAR TO SCARLET FEVER

Question 4

effects of toxin

Answer 4

myocarditis
neuritis, peripheral neuropathy
suprarenal glands
thrombocytopenia

Question 5

outbreaks

Answer 5

IN OUTBREAKS CHILDREN ARE FOUND TO BE TRANSIET CARRIERS

Question 6

IP

Answer 6

2-5 DAYS

Question 7

TX

Answer 7

diphtheria antitoxin but only works on the free toxin (like tetanus)

antibiotic - macrolide like whooping cough for 2 weeks

Question 8

contacts

Answer 8

a booster vaccine

monitored for the incubation period

need swabs to see if its a pathogenic strain cos not all strains are pathogenic and those who have it should be isolated and given antibiotics

Question 9

types of diphtheria

Answer 9

Diphtheria can involve almost any mucous membrane. For clinical purposes, it is convenient to classify diphtheria into type of manifestation, depending on the site of disease:

Respiratory diphtheria
Nasal diphtheria
Pharyngeal and tonsillar diphtheria
Laryngeal diphtheria
Cutaneous diphtheria

Question 10

EPI

Answer 10

<5 but can also affect non immune adults